(765) 476-2920 Monday – Thursday, 9:00 AM – 8:00 PM 329 N. 6th Street, Lafayette, IN 47901 Career Training - Let's Get Started! Student Name* First Last Student Phone Number*Student Email* Gender* Male Female Other Birth Date* Month Day Year Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Please select your career training option below:* Paraprofessional Construction Pre-Apprenticeship Child Development Associate Pre-Apprenticeship Logistics HVAC Community Health Worker Pre-Apprenticeship Certified Business Professional in Customer Service Are you working?* Yes No Education Status:* No High School Diploma High School Diploma, HSE, or GED Some postsecondary, no degree Postsecondary Certification/License/Degree Are you currently in school?* Yes No Last school attended:*Previous schooling location: U.S.-based schools Non-U.S.-based schools Social Security # or ITIN*Upload Drivers LicenseMax. file size: 512 MB.
