MENU
  • About Us
  • Career Pathways Training Program (CPT)
  • Workforce Investment Organization
  • Online Training
    • Available Training
  • Events
  • Contact Us
Career Pathways Training Program Application

Step 1 of 3

33%

Your Contact Information

Your Name(Required)
Address(Required)
Your Email Address(Required)

Your Contact Number

Preferred Method of Contact
When is the best time for us to reach you via telephone?

Education Information

Prior Level of Education(Required)
Prior education you have completed and for which you received a Diploma or Degree. Please check all that apply.
Professional Licenses and Certifications
Please list any professional licenses and certifications. Click on the + sign to add more rows.
Are you currently enrolled in an education program?(Required)
Example: Fall 2024, Spring 2025, Etc.
Do you attend classes full-time or part-time?
Do you attend classes in the day or evening?
Have you applied for financial aid?(Required)
Type of Financial Aid(Required)
Is there anything else you would like to share regarding your education?

Employment Information

Are you a citizen of the U.S. or legally authorized to work in U.S.?(Required)
Are you currently employed?(Required)
Is your current employment in healthcare?(Required)
Are you working full-time or part-time?
Are you a union member?(Required)
Is there anything else you would like to share regarding your employment?
Consent - Data Accuracy(Required)
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected.
Opt-In
By submitting this form and entering your email and phone number(s) above, you consent to be contacted by a representative from The Audacia Foundation, Inc. Opting-in is not a condition for your application to this program. You can opt-out at anytime by contacting us at support@audaciafoundation.org.
This field is for validation purposes and should be left unchanged.

We look forward to helping you reach your goals in health care!

Contact Us
  • The Audacia Foundation, Inc.
  • 39 Broadway, Suite 1710
  • New York, NY 10006
  • 1 (212) 425-5050

Powered by Element74