General Information
Please allow up to a week for a response from your application. We will respond to your application by form of e-mail.

Please read the program details on our Program Page before filling this application out. Fill out this form if you are interested in joining one of our programs.
Which program are you interested in? *
Required
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Birthday *
MM
/
DD
/
YYYY
Cell Phone *
Your answer
Email *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
County (Ex: Fulton, Dekalb) *
Emergency Contact Name and Relationship *
Your answer
Emergency Contact Number *
Your answer
What do you enjoy in your free time? *
Your answer
Who do you currently live with? *
Your answer
Do you have any children? If yes, how many and how old? *
How will you get to class each day? *
Your answer
What do you think you are good at? *
Your answer
What are some things you have been committed to? (ex: school sports, volunteering, etc.) *
Your answer
Are you physically able to lift heavy objects? *
How did you hear about ATC? *
Your answer
Are you being referred to ATC from another organization? (ex: Court System, Probation Officer, another nonprofit, etc.) If yes, who? *
When is the soonest you can start the program? *
Your answer
How interested are you in repairing vehicles? *
Not very interested
Very Interested!
Are you willing to get a job in the automotive repair shop job right after the program? *
Next
Never submit passwords through Google Forms.
This form was created inside of Automotive Training Center. Report Abuse