RTE
Trainee
*
Training Reason
Select
Current Job
Future Job
*
Training Interest
Select
IT Apprenticeships
Short IT Upskill Training
Leadership Business Optimization
Workplace Success
Literacy Skills
*
Social Security Number
*
Trainee Email
*
Last Name
*
First Name
Middle Initial
Date of Training
Employee ID
Phone Number
Address
City
CA Employer Tax ID
*
Ethnicity
Select
White
Black
Hispanic
Native American
Asian
Pacific Islander
Filipino
Other
*
Education
Select
Eighth Grade or less
High School Grad
GED
Some College
College Grad
Post College Grad
Some High School
*
Gender
Select
Male
Female
Non-Binary
*
Veteran
Select
Yes
No
*
Disabled
Select
Yes
No
*
Home Zip Code
*
Age Group
Select
Less Than 25
24 - 34
35 - 44
45 - 54
55 - 64
65 & Older
Date Hired
Job Role
Resume
*
Wage
Workplace Address
Training Completion Date
*
Employer Name
*
Employer Email
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