Providing the Unemployed or Underemployed with skills in traditional and non-traditional trades
Providing A Tool Bag For Success
Please complete the form below to send us an email. Fields marked with
are required in order to submit the registration form.
Permanent Home Address
Years lived in the US?
Years outside the US?
Years lived in the NC?
Hispanic or Latino?
Briefly list any academic distinctions or honors you have received.
EXTRACURRICULAR & WORK EXPERIENCE
Most recent secondary school attended
Colleges and Universities List all colleges/universities you have attended:
College Credits Earned:
Please send all official transcripts of high school and college/universities as soon as possible to:
BEATTIES FORD ROAD VOCATIONAL REHABILITATION CENTER
1406 Beatties Ford Road
Charlotte, N.C. 28216
Current Training(s): Please list all training(s) you have taken:
Please briefly elaborate on one of your extracurricular or work experiences in the space below that relates to the certification you are endeavoring to receive.
Please attach a separate sheet if you wish to provide details of circumstances or qualifications not reflected in the application.
1. Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade forward, whether related to academic misconduct or behavioral misconduct that resulted in a disciplinary action? These actions could include, but are not limited to; probation, suspension, removal, dismissal, or expulsion from the institution
2. Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime?
(note that you are not required to answer “yes” to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.)
If you answered “yes” to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident, explain the circumstances, and reflect on what you learned from the experience.
Applicants are expected to immediately notify the Beatties Ford Road Vocational Rehabilitation Center of any changes to the information requested in this application
Choose a Trade
**Core-Intro to Construction
**Electrical 1 & 2
**Heating & Air (Hvac)
**Concrete Finishing & Work
**Brick / Block Masonry
**Graphic Arts & Design
**High School Completion
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