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* 1. Name (First and last)

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* 2. Phone number

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* 3. Email address

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* 4. Address

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* 5. This class will be offered from 4-6 PM, Mondays-Thursdays at The Career Academy. Are you able to attend every class? (2 unexcused absences are allowed)

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* 6. Have you taken the Manufacturing Basics Certificate (Level 1)?

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