Coursera @ the REDC This application is only for a Coursera license. All academic funding has been exhausted, and no more academic applications are being accepted at this time. Question Title * 1. Your information First Name Last Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. What is your AJC number? (You get this from https://www.azjobconnection.gov/jobseeker/registrations/new ) Question Title * 3. Please indicate your current employment level My employment has or was impacted by COVID-19 Part-time Underemployed (less than $50,000/yr) Currently seeking employment Veteran or family member (spouse or dependent) Question Title * 4. What is your highest level of education? High school Some college Associate's Bachelor's Post-bachelor Question Title * 5. What area would you like to study via Coursera @ YC? Information Technology Healthcare Manufacturing Question Title * 6. How do you see yourself benefiting by taking courses via Coursera @ YC? Question Title * 7. Which of the following applies to you in order to determine eligibility (for Grant tracking purposes): You are a veteran or family member of a veteran Laid off due to Covid-19 Long-term unemployed Self-employed, but underemployed Wages or hours reduced due to Covid-19 (including self-employed) Displaced homemaker Not applicable Question Title * 8. I certify that by typing my name below that my responses are true and accurate. Done
