CityLab Professional Enrollment Form 2020 -2021

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Student Name* This field is required.
First Name
Middle Name
Last Name
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Are you a Registered Voter?* This field is required.
YESNO
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Birth Date* This field is required.
Month
Day
Year
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Address* This field is required.Thank you for taking the time to complete your address. Please use 2 letters for the State (i.e. California = CA)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Student E-mail* This field is required.This is the email address we will use to communicate with you so please check and whitelist communications.
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
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Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
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Mobile Number* This field is required.
Area Code
Phone Number
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Work Number
Area Code
Phone Number
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Courses you would like to take* This field is required.We offer a variety of courses that are online free and in person, all you need to do is provide for your tools and study materials.
Please Select
Technical Support Specialist
Network Support Specialist
Cybersecurity Support Specialist
IT Project Manager
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Are you interested in getting work-skills as a California Apprentice?* This field is required.Citylab professional is a dually registered apprenticeship program with the state and federal government allowing for remote work to satisfy the on-the-job training requirements. The program combines our college education, online professional courses through CompTIA, and on-the-job competency-based learning with a clear roadmap and mentorship for developing diverse and inclusive apprentices for our clients into skilled professionals.
YESNO
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Do you expect to need housing? (If so, please take time to discuss your need in comments)* This field is required.Through the CityLab Professional Program , we give you the chance to get a full range of technical training, an accredited college education and an affordable place to live.
YESNO
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Final question, are you committed to your own success? * This field is required.Critical Question which involves a proper assessment of our time commitment to demonstrate competence in the technical field you wish to pursue.
YESNO
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Additional CommentsPlease introduce yourself to us..Citylab Professional aims to build a resilient community looking to better their lives and, in doing so, make a profound difference in the world. Our goal is to provide valuable training resources to community residents who struggle with barriers to employment. Education is power, and we believe anyone can turn their life around by equipping themselves with the knowledge to transform their future. Citylab Professional provides training that can birth a new dream in someone. Inspire new goals. Offer new beginnings. Citylab Professional offers a different road, leading many to discover their unlimited potential.
Don't worry we get to meet online, so if you have a writers block it's ok.
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