Brooklyn Networks Registration Form
Please complete Registration Form. Brooklyn Networks will use your contact information to send reminders and updates around our Online Information Sessions and other concerns.

All information will be kept confidential. We look forward to meeting you face to face soon!

Please contact Adar Johnson, Program Coordinator, ajohnson@bwiny.org with any questions.
Email address *
Last Name *
First Name *
Mobile Phone Contact Information *
What is your Date of Birth? (MM/DD/YYYY format)
Which online Information Session date are you attending? (All information sessions are either on Tuesday at 10 AM, Thursday at 1 PM or Friday at 10 AM) *
Why do you want to train with Brooklyn Networks Cable Training Program? *
How long are you interested in working as a Cable Technician? *
What is your hourly rate requirement as an Entry-Level Cable Technician? *
If you are unable to train with our program, which 3 career paths could we help you navigate for you goals? *
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