Application : Programs : Lincoln Manufacturing Council

Manufacturing Basics Certificate Application

Application Deadline: September 30th, 2024

Time: 5:00-7:30pm

Location: American Job Center | 1330 N St. Suite A | Lincoln, NE

Name

First Name *

Last Name *

Phone number

ext Extension

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Are you 18 years of age or older?

Do you have any prior manufacturing experience?

This class is for people with NO prior manufacturing experience.

Will you be able to attend every class in this training program?

Attendance is required.

On a scale of 1-5 with 5 being extremely interested and 1 being not at all, how interested are you in a career in manufacturing?

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What is your current employment status?

This question helps determine our source of funding and your answer will remain anonymous.

I have a full-time job (I am employed and work 30 hours a week or more)
I have a part-time job (I am employed and work less than 30 hours a week)
I am unemployed and looking for work
I am unemployed and not looking for work

Please describe your past work experience.

Include company name, location, position(s) held, and when you held the job

Please describe your educational background

Include any high school and trade school/college. School name, location, and when attended.

Other training, certifications, or licenses held.

In two to three sentences, tell us about yourself.

In two to three sentences, why are you applying for this program?

If you were referred to this program by someone at a community organization, agency, or religious institution, please provide the name of the case management or referring organization

Case manager name

Case manager phone number and email address

Will you bring any children with you to the class?

There is no additional cost for this service.

If yes, please list the names and ages of the children below so that childcare can be arranged.

Do you and/or your children have any dietary restrictions?

All class completers will receive a free t-shirt. Please select what size t-shirt you would like below:

What color t-shirt would you like?

Verfication: I have completed this application truthfully and to the best of my knowledge.

Please type your name.