WFD Registration Application

This form is your first step in the application process.
Thank you for choosing us to be a part of your journey!

Full Name

Date of Birth

Check Here If You Are Under the Age of 18.

I am under 18 years of age.

Phone Number

Email Address

Home Address

City

State

Zip Code

What Program Are You Interested In?

Are you Interested in Day or Evening Classes? Are you Interested in Day or Evening Classes?

Day Classes

Evening Classes

Unsure

Are You Working with an Agency or Counselor?

Name of Agency or Counselor (If Applicable)

Education (Check all that apply) Education (Check all that apply)

I am currently in High School

I do not have a High School Diploma or Equivalency

High School Diploma/Equivalency

Associates Degree

Bachelors Degree

Graduate School

Technical or Other School

Most Recent Employer Name

Most Recent Employer Type of Business

Most Recent Employer Approximate Starting Date

Most Recent Employer End Date (If Applicable)

Most Recent Employer Position

Second Most Recent Employer Name

Second Most Recent Employer Type of Business

Second Most Recent Employer Approximate Starting Date

Second Most Recent Employer End Date (If Applicable)

Second Most Recent Employer Position

Why You, Why Now? (Why are you interested in this program and why now?)

Erie 1 BOCES does not discriminate on the basis of age, sex, race, color, creed, religion, national origin, political affiliation, marital status, veteran status, or disability in the educational programs or activities which it operates.

If any information on this application is found to be incorrect and/or incomplete, your eligibility for entrance in a training program may be denied.

Did you complete this application to the best of your knowledge and ability?

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WFD Registration Application