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 *
Last Name *
Age *
Birthday *
MM
/
DD
/
YYYY
Cell Phone *
Email *
Street Address *
City *
State *
Zip Code *
County (Ex: Fulton, Dekalb) *
Emergency Contact Name and Relationship *
Emergency Contact Number *
What do you enjoy in your free time? *
Who do you currently live with? *
Do you have any children? If yes, how many and how old? *
How will you get to class each day? *
What do you think you are good at? *
What are some things you have been committed to? (ex: school sports, volunteering, etc.) *
Are you physically able to lift heavy objects? *
How did you hear about ATC? *
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? *
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? *
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