Emergency Contact Information:
Please describe what job or jobs you would like to be employed in after completing this training:
Please indicate how you intend to pay for your training (tuition, fees, books, tools, supplies, room and board). It is highly recommended that you apply for grants and scholarships to help fund your training. Please mark which agencies you intend to apply with
(State of Alaska Dept of Labor-Workforce Development, Dept of Vocational Rehabilitation, Bureau of Indian Affairs)
Please complete the area below IF you already know which agencies will be assisting you financially:
Have you ever attended any prior post-secondary academic or vocational institution?
If yes, please list:
Please indicate if you have any of the following medical conditions:
Vision impairmentsEye lossColor blindnessHigh blood pressureDifficulty in hearingEpilepsyLimb lossDiabetesHeart problemsBack or knee injuries
Please describe your personal plans upon training completion.