MACIR Registration Form

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Date of Birth

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Are you allowed to work in the U.S.?
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No

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Education Level
High School Diplomat or GED
Some College Classes
Associate Degree
Bachelor's Degree
Masters Degree

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This is an online class. Do you have a computer at home?
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No

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Are you making less than $44,000 a year?
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No

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Are you willing to attend Zoom classes Monday, Wednesday and Friday from 6:00 PM to 9:00 PM and participate in daily Lab/Internship in person?
Yes
No

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Are you comfortable being on video during online classes?
Yes
No

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Why are you interested in this program?

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I agree to MACIR Terms and Conditions

You need to agree to MACIR Terms