Print Production Training Course Registration
Thank you for your interest in attending Print Production Training offered by PrintSIP, a Strategic Industry Partnership led by the Printing & Graphics Association MidAtlantic (PGAMA). This Project is funded by the State of Maryland’s EARN Maryland Grant Program and administered by the Maryland Department of Labor, Licensing and Regulation (DLLR). Information submitted is kept confidential. By enrolling in this program, I grant permission to share my information with DLLR. DLLR reserves the right to verify the accuracy of the information submitted with this form. If you have questions please contact Paul Foster at paul@pgama.com or (410) 319-0900
Email address *
Name of Print Production Training Course *
Please choose the name of the course that you wish to register for.
Location of Print Production Training Course *
Please choose the location of the course that you wish to register for.
Attendance Agreement
I understand that these courses run for 5 weeks, and meet 2 times a week from 5:30 PM to 8:00 PM. I have considered the commute to this course and am comfortable that it will not interfere with my attendance. By submitting this registration I agree to attend all classes in the course unless unforeseen circumstances prevent my attendance. I will contact the instructor in the case that I am unable to attend class on a given night or wish to withdraw from the course. If I withdraw from a course, I may be charged a materials and supplies fee of $100.
Phone Number *
Your answer
Is this a mobile phone? *
May we text class status messages to this number?
First Name or Initial *
Your answer
Middle Name or Initial
Your answer
Last Name *
Your answer
Home Street Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
ZIP *
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County of Residence *
Date of Birth *
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Social Security Number
Your answer
Race *
Please check all that apply.
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Gender *
National Origin *
Highest Level of Educational Attainment *
Are you a current or former member of the military or a military spouse? *
Are you currently employed? *
Name of Employer
Your answer
Job Title
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Dates of Employment
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Hourly Wage *
At current or most-recent job. If salaried, please divide your yearly salary by 2000 hours for hourly wage.
Your answer
Hours Worked *
Please enter the average # of hours worked per week at current or most recent job.
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Emergency Contact *
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Street Address
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City
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State
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ZIP
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Phone *
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Relationship *
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Terms *
This program is funded by the State of Maryland’s EARN Maryland Grant Program, administered by the Maryland Department of Labor, Licensing and Regulation (DLLR). As a recipient of EARN Maryland funds, this program is required by law to collect certain demographic information from training participants and to provide such information to DLLR for reporting purposes. Any demographic information provided to DLLR will not contain personal, identifiable information. By enrolling in this program, I grant permission to share my demographic information with DLLR.This program reserves the right to modify this privacy statement at any time. By selecting "Yes" below and typing your name and the date, you agree to the terms of this registration form.
Name *
Your answer
Date *
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A copy of your responses will be emailed to the address you provided.
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