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\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\nFirst Name:* <\/label>

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\r\nLast Name:* <\/label>

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\r\nEmail:* <\/label>

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\r\nPhone:* <\/label>

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\r\nPreferred Contact Method:*

<\/textarea><br>\r\n<br>\r\n\r\n<label for=\"city\">City:* <\/label><br><input  id=\"city\" maxlength=\"40\" name=\"city\" size=\"30\" type=\"text\" \/><br>\r\n<br>\r\n\r\n<label for=\"state\">State [Abbreviation only (e.g. NY)]:* <\/label><br><input  id=\"state\" maxlength=\"20\" name=\"state\" size=\"30\" type=\"text\" \/><br>\r\n<br>\r\n\r\n<label for=\"zip\">Zip:* <\/label><br><input  id=\"zip\" maxlength=\"20\" name=\"zip\" size=\"30\" type=\"text\" \/><br>\r\n<br>\r\n\r\nDate of Birth (MM\/DD\/YYYY):* <span class=\"dateInput dateOnlyInput\"><br><input  id=\"00NUm000006cjdN\" name=\"00NUm000006cjdN\" size=\"30\" type=\"text\" \/><\/span><br>\r\n<br>\r\nGender:* <br><select  id=\"00NUm00000CbdRh\" name=\"00NUm00000CbdRh\" title=\"Gender\"><option value=\"\">--None--<\/option><option value=\"Female\">Female<\/option>\r\n<option value=\"Male\">Male<\/option>\r\n<option value=\"Nonbinary\">Nonbinary<\/option>\r\n<option value=\"Agender\">Agender<\/option>\r\n<option value=\"Genderqueer\">Genderqueer<\/option>\r\n<option value=\"Other\">Other<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\nPronouns:* <br><select  id=\"00NUm00000CbdWX\" name=\"00NUm00000CbdWX\" title=\"Pronouns\"><option value=\"\">--None--<\/option><option value=\"He\/Him\">He\/Him<\/option>\r\n<option value=\"She\/Her\">She\/Her<\/option>\r\n<option value=\"He\/They\">He\/They<\/option>\r\n<option value=\"She\/They\">She\/They<\/option>\r\n<option value=\"They\/Them\">They\/Them<\/option>\r\n<option value=\"Ze\/Zem\">Ze\/Zem<\/option>\r\n<option value=\"Any Pronouns\">Any Pronouns<\/option>\r\n<option value=\"Other\">Other<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\nRace:* <br><select  id=\"00NUm000006cja9\" name=\"00NUm000006cja9\" title=\"Race\"><option value=\"\">--None--<\/option><option value=\"American Indian or Alaska Native\">American Indian or Alaska Native<\/option>\r\n<option value=\"Asian\">Asian<\/option>\r\n<option value=\"Black or African American\">Black or African American<\/option>\r\n<option value=\"Native Hawaiian or Other Pacific Islander\">Native Hawaiian or Other Pacific Islander<\/option>\r\n<option value=\"Multi-race\">Multi-race<\/option>\r\n<option value=\"White\">White<\/option>\r\n<option value=\"Other\">Other<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\nEthnicity:* <br><select  id=\"00NUm000006cjYX\" name=\"00NUm000006cjYX\" title=\"Ethnicity\"><option value=\"\">--None--<\/option><option value=\"Hispanic\/Latino\">Hispanic\/Latino<\/option>\r\n<option value=\"Not Hispanic\/Latino\">Not Hispanic\/Latino<\/option>\r\n<\/select><br>\r\n\r\n<br>\r\n\r\nPlease select the program you are applying for:* <select  id=\"00NUm00000HqMnR\" name=\"00NUm00000HqMnR\" title=\"Program Applied For (Select)\"><option value=\"\">--None--<\/option>\r\n<option value=\"NYPA Green Construction\">NYPA Green Construction<\/option>\r\n<option value=\"NYPA Electrification\">NYPA Electrification<\/option>\r\n<\/select><br>\r\n\r\n<br>\r\nComing into this training program, are any of the following factors a personal challenge for you that you may need assistance with? (Select all that apply)*<br>\r\n<br>\r\n\r\nChildcare: <input  id=\"00NUm00000GSHeF\" name=\"00NUm00000GSHeF\" type=\"checkbox\" value=\"1\" \/><br>\r\nTransportation: <input  id=\"00NUm00000GSO6D\" name=\"00NUm00000GSO6D\" type=\"checkbox\" value=\"1\" \/><br>\r\nFood Insecurity: <input  id=\"00NUm00000GSO9R\" name=\"00NUm00000GSO9R\" type=\"checkbox\" value=\"1\" \/><br>\r\nHousing Insecurity: <input  id=\"00NUm00000GSOB3\" name=\"00NUm00000GSOB3\" type=\"checkbox\" value=\"1\" \/><br>\r\nLegal or Social Support: <input  id=\"00NUm00000GSOCf\" name=\"00NUm00000GSOCf\" type=\"checkbox\" value=\"1\" \/><br>\r\nEnglish as a Second Language (ESL):<input  id=\"00NUm00000GSOEH\" name=\"00NUm00000GSOEH\" type=\"checkbox\" value=\"1\" \/><br>\r\nDisability: <input  id=\"00NUm00000GSOFt\" name=\"00NUm00000GSOFt\" type=\"checkbox\" value=\"1\" \/><br>\r\n<br>\r\nOther Personal Challenge:* <br><textarea  id=\"00NUm00000GT5hR\" name=\"00NUm00000GT5hR\" type=\"text\" wrap=\"soft\"><\/textarea><br>\r\n<br>\r\n\r\nAre you authorized to work in the United States?:* <input  id=\"00NUm000006ckhV\" name=\"00NUm000006ckhV\" type=\"checkbox\" value=\"1\" \/><br>\r\n<br>\r\n\r\nHighest Level of Education:* <br>\r\n<select  id=\"00NUm00000GT4i9\" name=\"00NUm00000GT4i9\" title=\"Highest Level of Education\"><option value=\"\">--None--<\/option><option value=\"High School or Equivalent\">High School or Equivalent<\/option>\r\n<option value=\"IEP\">IEP<\/option>\r\n<option value=\"Vocational\">Vocational<\/option>\r\n<option value=\"Associate's Degree\">Associate's Degree<\/option>\r\n<option value=\"Bachelor's Degree\">Bachelor's Degree<\/option>\r\n<option value=\"Graduate Degree\">Graduate Degree<\/option>\r\n<option value=\"PHD\">PHD<\/option>\r\n<option value=\"Other\">Other<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\nAnnual Income:* <br>\r\n<select  id=\"00NUm00000CzeUf\" name=\"00NUm00000CzeUf\" title=\"Annual Income\"><option value=\"\">--None--<\/option><option value=\"$0 - $29,150\">$0 - $29,150<\/option>\r\n<option value=\"$29,151 - $48,550\">$29,151 - $48,550<\/option>\r\n<option value=\"$48,551 - $58,250\">$48,551 - $58,250<\/option>\r\n<option value=\"$58,251 - $77,650\">$58,251 - $77,650<\/option>\r\n<option value=\"$77,651 - $97,050\">$77,651 - $97,050<\/option>\r\n<option value=\"$97,051 - $116,450\">$97,051 - $116,450<\/option>\r\n<option value=\"Greater than $116,451\">Greater than $116,451<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\n<br>\r\n\r\n\r\n<label for=\"do you have any green industry certifications?\" >Do you have any green industry certifications?:* <\/label><br>\r\n\r\n\r\nLEED: <input  id=\"00NUm00000GSOJ7\" name=\"00NUm00000GSOJ7\" type=\"checkbox\" value=\"1\" \/><br>\r\n\r\nBPI: <input  id=\"00NUm00000GSOKj\" name=\"00NUm00000GSOKj\" type=\"checkbox\" value=\"1\" \/><br>\r\n\r\nG-Pro: <input  id=\"00NUm00000GSOML\" name=\"00NUm00000GSOML\" type=\"checkbox\" value=\"1\" \/><br>\r\n\r\nAEE: <input  id=\"00NUm00000GSHpW\" name=\"00NUm00000GSHpW\" type=\"checkbox\" value=\"1\" \/><br>\r\n\r\nNABCEP: <input  id=\"00NUm00000GS90k\" name=\"00NUm00000GS90k\" type=\"checkbox\" value=\"1\" \/><br>\r\n\r\nEPA 608: <input  id=\"00NUm00000GSONx\" name=\"00NUm00000GSONx\" type=\"checkbox\" value=\"1\" \/><br>\r\n\r\nWELL AP: <input  id=\"00NUm00000GSHpX\" name=\"00NUm00000GSHpX\" type=\"checkbox\" value=\"1\" \/><br>\r\n<br>\r\n\r\n\r\nOther Green Industry Certification:* <br><textarea  id=\"00NUm00000GSOPZ\" name=\"00NUm00000GSOPZ\" type=\"text\" wrap=\"soft\"><\/textarea><br>\r\n<br>\r\n\r\nSelect which best describes your employment situation:* <br><select  id=\"00NUm00000GSOSn\" name=\"00NUm00000GSOSn\" title=\"Employment Status at Start of Training\"><option value=\"\">--None--<\/option><option value=\"Employed (Full Time)\">Employed (Full Time)<\/option>\r\n<option value=\"Employed (Part Time)\">Employed (Part Time)<\/option>\r\n<option value=\"Self-employed\">Self-employed<\/option>\r\n<option value=\"Unemployed\">Unemployed<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\nAre you currently actively seeking employment or career advancement opportunities?* <br><select  id=\"00NUm00000GSOUP\" name=\"00NUm00000GSOUP\" title=\"Seeking Employment\/Career Advancement\"><option value=\"\">--None--<\/option><option value=\"Yes\">Yes<\/option>\r\n<option value=\"No\">No<\/option>\r\n<option value=\"Maybe\">Maybe<\/option>\r\n<\/select><br>\r\n<br>\r\nDo you have any past experience with any of the following areas? (Select all that apply)*\r\n<br>\r\nLighting & Electrical Efficiency: <input  id=\"00NUm00000GSOW1\" name=\"00NUm00000GSOW1\" type=\"checkbox\" value=\"1\" \/><br>\r\nHVAC & Mechanical: <input  id=\"00NUm00000GSOXd\" name=\"00NUm00000GSOXd\" type=\"checkbox\" value=\"1\" \/><br>\r\nPlumbing & Heating: <input  id=\"00NUm00000GSOZF\" name=\"00NUm00000GSOZF\" type=\"checkbox\" value=\"1\" \/><br>\r\nCarpentry & Envelope: <input  id=\"00NUm00000GSOar\" name=\"00NUm00000GSOar\" type=\"checkbox\" value=\"1\" \/><br>\r\nSolar PV: <input  id=\"00NUm00000GSOcT\" name=\"00NUm00000GSOcT\" type=\"checkbox\" value=\"1\" \/><br>\r\nOther Renewable Energy: <input  id=\"00NUm00000GSOe5\" name=\"00NUm00000GSOe5\" type=\"checkbox\" value=\"1\" \/><br>\r\n<br>\r\nOther Clean Energy Industry Experience:* <br><textarea  id=\"00NUm00000GSOfh\" name=\"00NUm00000GSOfh\" type=\"text\" wrap=\"soft\"><\/textarea><br>\r\n<br>\r\n\r\nHow did you hear about this program?* <br><select  id=\"00NUm00000CbILd\" name=\"00NUm00000CbILd\" title=\"How did you hear about this program?\"><option value=\"\">--None--<\/option><option value=\"Web\">Web<\/option>\r\n<option value=\"Social Media\">Social Media<\/option>\r\n<option value=\"Newspaper\/Publication\">Newspaper\/Publication<\/option>\r\n<option value=\"Word of Mouth\">Word of Mouth<\/option>\r\n<option value=\"Referral\">Referral<\/option>\r\n<option value=\"Other\">Other<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\nShirt Size:* <select  id=\"00NUm000006cjjp\" name=\"00NUm000006cjjp\" title=\"Please select your Shirt Size\"><option value=\"\">--None--<\/option><option value=\"Small\">Small<\/option>\r\n<option value=\"Medium\">Medium<\/option>\r\n<option value=\"Large\">Large<\/option>\r\n<option value=\"X-Large\">X-Large<\/option>\r\n<option value=\"2XL\">2XL<\/option>\r\n<option value=\"3XL\">3XL<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\nShoe Size:* <select  id=\"00NUm00000GT5RJ\" name=\"00NUm00000GT5RJ\" title=\"Please select your Shoe Size\"><option value=\"\">--None--<\/option><option value=\"5 Women's\">5 Women's<\/option>\r\n<option value=\"6 Women's\">6 Women's<\/option>\r\n<option value=\"7 Women's\">7 Women's<\/option>\r\n<option value=\"8 Women's\">8 Women's<\/option>\r\n<option value=\"9 Women's\">9 Women's<\/option>\r\n<option value=\"10 Women's\">10 Women's<\/option>\r\n<option value=\"11 Women's\">11 Women's<\/option>\r\n<option value=\"8 Men's\">8 Men's<\/option>\r\n<option value=\"9 Men's\">9 Men's<\/option>\r\n<option value=\"10 Men's\">10 Men's<\/option>\r\n<option value=\"11 Men's\">11 Men's<\/option>\r\n<option value=\"12 Men's\">12 Men's<\/option>\r\n<option value=\"13 Men's\">13 Men's<\/option>\r\n<option value=\"14 Men's\">14 Men's<\/option>\r\n<option value=\"15 Men's\">15 Men's<\/option>\r\n<option value=\"Other\">Other<\/option>\r\n<\/select><br>\r\n<br>\r\n\r\n<input type=\"submit\" name=\"submit\" id=\"mySubmitButton\">\r\n\r\n<\/form>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please fill out the form below to apply for our upcoming Green Construction Training. 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