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Adult Education Courses Interest List
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Email
*
Your email
First and Last Name
*
Your answer
Telephone Number
*
Your answer
Is English your first language?
*
Select all that apply
YES
NO
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Who is your cell phone carrier?
AT&T
Verizon
T Mobile
Boost Moibile
Cricket
Metro PCS
Strait Talk
U.S. Cellular
Virgin Mobile
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Your Zip Code
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Your answer
How would you like to be contacted?
*
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Email
Phone
Text
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How did you hear about us?
*
EDD/GAIN/CalWorks/Workforce Connection
Family/Friend/Word of Mouth
Flyer/Newspaper
Instagram
Facebook
School Website
College Class/Instructor
Radio Ad
Other:
What courses would you like to receive information about?
*
Check all that apply
Summer CNA Classes
Fall/Spring CNA Classes
Heating, Ventilation, and Air Conditioning (HVAC)
Emergency Medical Technician (EMT)
Medical Terminology
Wildland Fire Fighting (US Forest Service Certifications)
Welding
High School Diploma for Adults
Culinary and Business Enterprise
Instructional Aide Certification
ESL Courses
Automotive
Emergency Medical Dispatcher (EMD)
Required
I am interested in taking courses in the following area(s)
*
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Sanger
Reedley
Dinuba
Parlier
Selma
Other:
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