Certified Production Technician® Program Application
Please complete the application below. For questions, contact Cari Latimer at successcoach@hotgoodwill.org
Email *
Name *
Address (street, city, st, zip) *
Primary Phone Number *
Highest level of education you have completed: *
Required
Are you currently employed? *
If employed, current employer(s): *
Do you have any experience in manufacturing *
Are you interested in working in manufacturing? *
If enrolled in the program, are you willing to have open communication with Goodwill staff, allow them to contact you on a regular basis, and provide updates on your progress? *
If enrolled in the program, are you willing to complete the required online coursework weekly? *
12 hours self-paced online CPT coursework each week, and 4 hours live online, instructor-led classroom instructions each week.
Do you have reliable internet and a computer for the weekly online training requirements? *
What is your availability for the online instructor-led training each week? MARK EACH BOX for the days and times YOU ARE AVAILABLE EACH DAY.
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Do you have reliable local transportation? *
Have you ever been convicted of a crime? *
A past conviction does not automatically disqualify you from participation.
How did you learn about this program? *
Required
By electronically signing this application, I am certifying that all the information given above is true and complete. I understand in the event of program acceptance any false or misleading information could result in discharge from the program. ***Please type your name below as an electronic signature.*** *
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