We Want to hear from you!
Tell us about yourself and one of our representatives will be in touch to start you on the next step in your career.
First Name
Preferred Name, if not legal name (optional)
Last Name
Age
What city do you live in
Gender
Please select...
Male
Female
Non-binary/Non-conforming
Transgender woman/girl
Transgender man/boy
Prefer not to respond
Interests/Hobbies
Preferred Phone
Mobile
Home
Work
Phone
Text messages ok
Please select...
Yes
No
Preferred Email
Personal
Work
Alternate
E-mail Address
Which program are you interested in?
Please select...
MI Youth Academy (MIYA)
MI Career Accelerator (MICA)
Apprenticeship
I'm not sure
Are you currently employed?
Yes
No
Company name
Supervisor name and title
Supervisor email
Supervisor phone
What industry/industries are you interested in?
Please select...
Machining
Heavy Duty Equipment
Industrial Machinery
Container/Van/Trailer Repair
Which of our sites are you nearest to?
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SW Washington
Tukwila
Spokane
How did you hear about us?
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School career fair
Employer career fair
Instructor
Career counselor
Public event
Friends/Family
Social Media
Other
If you selected other, please describe how you heard about us.
Campaign ID
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Contact Information