Weatherization Installer "Boot Camp"

Grant Recipient Application

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

Why do you want to work in the Weatherization industry?

Transportation to and from the class MAY BE provided with this offering. Please acknowledge your understanding by clicking below.

I understand transportation may be provided and plan on requesting transportation assistance

I do NOT need any transportation assistance

Upon completion of this course, there will be an opportunity to be hired by a contractor. Employment will be dependent upon your ability to pass a CORI/SORI (background) check. Check this box to confirm you understand this requirement.

Are you representing yourself or a company?

Myself

A Company

The funders of this program require Green Jobs Academy to collect the following demographic information. This data helps identify underserved communities. Your responses are greatly appreciated and will contribute to our efforts in promoting equity and inclusion.

Birthday

Month

Day

Year

Gender

Female

Male

Non-Binary

Prefer not to identify

Do you identify as a member of the LGBTQIA+ community?

Yes

No

I prefer not to identify

If you are representing a company, please give its name here

If you are representing a company, please give its address here

If you are representing a company, please give its phone number here