New Century Careers | Training Programs: MANUFACTURING 2000PLUS Application

MANUFACTURING 2000PLUS (M2K+)
Individual Registration Form

All fields marked with an * are required.

Personal Information

Name*
Home Address*
City*
State*
Zip Code *
Home Phone*
Cell Phone
Work Phone
E-Mail Address*
Place of Employment
Gender	Male Female
If you are NOT currently working in manufacturing, please indicate which of the following applies:
Dislocated Worker Laid Off Unemployed Other

Course Selection
Please check the box next to each course
in which you would like to enroll.

	Course	Location	Start Date	Cost
	No classes scheduled for the Fall of 2009.

Cost of each course includes everything you will need including: books, materials and certification tests (where applicable).

Cancellation Policy: A full refund will be granted if cancellation is within five business days of scheduled course. Later cancellations have the option of substituting another person into the scheduled course. Payment in full is required if you register and do not attend.

Directions will be mailed upon registration.