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Section 1 of 2
Life Works When You Work
NCUS-TEC Application
Email Address
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Please select todays date
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Location
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NCUS TEC- Columbus
NCUS TEC - Youngstown
Which NCUS-Tec Office are you being serviced?
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Columbus, OH.
Youngstown, OH.
Pittsburgh, PA
Philadelphia, PA
Gender
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Male
Female
Non-Binary
First Name
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Last Name
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Upload State ID
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Social Security Number
Birth Date
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Age
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Ethnicity
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American Indian/ Alaskan Native
Asian/ Pacific Islander
Black/ African American (Non-Hispanic)
Hispanic
Multiracial
White (Non-Hispanic)
Do you have a High School Diploma or GED?
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Yes
No
Level of Education
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High School Diploma Received
No High School Diploma
Academy of Urban Scholars Student
GED
Associates Degree
Bachelors Degree
Masters Degree
Attended college but did not graduate
Please Tell us the College you attended.
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Address
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State
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City
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Zip
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Phone
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Alternate Phone
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Are you Employed
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Yes
No
If yes, name of Employer
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Start Date
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Career Pathways
Please view the Career paths below and choose a pathway.
Choose your Course
AWS Academy Cloud Architecting- Complete in less than 10 weeks
AWS Academy Cloud Foundation(ACF)- Complete in less than 6 weeks
Fanuc Handling Tool Operations & Programming- Complete in less than 10 weeks
Google IT Support
Microsoft Office Specialist 2016- Complete in less than 12 weeks
Google Project Management
STNA - Complete in 4 weeks
Adobe Photoshop
Python Coding
201 - Full Stack - Software Developer
401 - Full Stack - Software Developer
SACA
IN1001..BICSI Installer One Training (Fiber Optics)
Rise Up Customer Service
Rise Up Retail Training
Construction Career Pathway
Builders Academy
Do you have any prior experience in this pathway?
Yes
No
Do you have anything on your background? (This does not exclude you from attending NCUS-TEC)
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Yes
No
How did you hear about NCUS-TEC
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Flyer
Friend
Radio
Partner Organization
Social Media
TV
Referred By
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Recruiting By
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Have you previously applied and enrolled with NCUS TEC?
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Yes
No
If yes, please provide previous date of enrollment
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Why did you withdraw from NCUS TEC?
Have you received a Certification from NCUS TEC?
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Yes
No
If yes, please select your Certification
AWS Architect
AWS Cloud Foundation
CompTIA- A+Certification
FANAUC Handling and Tool Operation
Google IT Support
STNA
Microsoft Office Excel
Microsoft Office PowerPoint
Microsoft Office Word
Adobe
Python
Certification not listed
Do you have a valid drivers license?
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Yes
No
Do you have access to a car?
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Yes
No
If certification was not listed, please provide your certification or specialized training you received from NCUS TEC.
Construction Career Pathway
Why are you wanting to purse a Career in Construction
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When are you looking to start a new job?
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ASAP
90 Days
6 Months
1 year
What are your financial Aspirations? Check all that apply
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Have a steady income
Build Generational Wealth
Learn how to manage my income
Learn how to save money
How comfortable are you with fractions?
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I have no experience with fractions
I have an intermediate level of knowledge
I have an advance level of knowledge
I am an expert
Which Construction Field are you most interested in?
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Pluming
Electrical
Carpentry
Construction Technology
Undecided
Please provide any additional information we should know about before you join the program.
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If you have previous construction certifications, please list them here
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