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Video Presentation
Application for Computer Training

YES, I am interested in the ULGC Computer Training Program.


Please fill-in the form below.
Applicant's Name 
Gender  Female Male
Age 
Marital Status  Single  Married  Widow  Divorced  Separated
Number of Dependent 
Education  None  Less than High School
High School  Vocational  Some College  College 
Foreign Language 
Proficiency 
U.S. Citizen  Yes No        If no, do you have a work permit? Yes No
Are you employed?  Yes No
Current Income $  per year
ComputerKnowledge  None  Very little  Some  Efficient
Address 
City 
State 
Zip Code 
Phone  (Area Code) - XXX - XXXX
e-mail 

      
WARNING: This application is for this PROGRAM ONLY, any other submission for commercial soliciting is prohibited. Violators will be reported to the Authorities.

Urban League of Greater Cleveland
"Building for Equal Opportunity"