Preregistration
COBO Center, Detroit MI: November 14th, 2018 - 8:30am - 4:00pm
DateTime
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you 18 years or older?
*
Yes
No
Military Status
*
I am transitioning military personnel
I am a Veteran
I am a Disable Veteran
I have served in the armed services
I am a military spouse
I am not a veteran/prefer not to answer
Region *Hide*
Referral Source *Hide*
Ethnicity
*
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
Two or More Races
White
I Decline to Identify
Gender
*
I Decline to Identify
Female
Male
Preferred Language
*
Arabic
Chinese
Dutch
English
French
German
Italian
Japanese
Polish
Spanish
Other
Do you have previous experience in construction?
*
Yes
No
Are you currently enrolled in an apprenticeship program?
*
Yes
No
Preferred method of follow up communication
*
Email
Phone
Text
Mail
Do you need transportation?
*
Yes
No
Complimentary Transportation will provided to and from COBO Center at the below locations from 8am-2pm. Location pick up times: 8am, 9am, 10am, 11am, 12pm, 1pm Please indicate which location you will utilize:
*
Samaritan Center - 5555 Conner St, Detroit 48213
Northwest Activity Center - 18100 Meyers, Detroit 48235
Southwest Detroit Center - 9301 Michigan Ave, Detroit 48210
Wayne Service Center - 35731 W. Michigan Ave, Wayne 48184
Highland Park Service Center - 144 E. Manchester St, Highland Park 48203
How did you hear about the event?
*
Radio
Billboards
One-Stop Shops
Church
Referral
Digital or Print Advertising
Other
Submit
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