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Tour Information Form
* Indicates required question
Email
*
Your email
TOUR date
MM
/
DD
/
YYYY
First Name
Your answer
Last Name
Your answer
Contact Phone Number
*
Your answer
Full Address
*
Your answer
Which course(s) are you interested in?
*
Excavator
Skid-Steer
Front-End Loader
Bulldozer
Backhoe
Heavy Equipment Operator (all machines)
Required
Do you have experience operating heavy equipment?
*
Yes
No
Do you have a high school diploma or GED?
*
Yes
No
Do you have a valid driver license?
*
Yes
No
Yes, I have a CDL
Can you lift 25 pounds?
*
Yes
No
Can you climb a ladder?
*
Yes
No
Do you have at least 20/40 vision?
*
Yes
No
No, but I wear corrective lenses
Do you have any physical or mental disabilities that hinder you from obtaining a job?
*
Yes
No
Are you a military veteran, spouse, child or active duty?
*
Yes
No
How will you be paying for tuition?
*
Self-Pay
Financing
ACCES-VR
GI Bill (Veterans)
Not sure
Required
Do you have any of the following certifications?
*
OSHA 10
OSHA 30
NYC DOB SST
811
Other
None
Required
How did you hear about us?
*
Google
Facebook/Instagram
Walk-In
BOCES
ACCES-VR
Referral
Other:
Required
Optional video introduction: (Please remember to click SUBMIT FORM below)
Send me a copy of my responses.
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