1199C Training & Upgrading Fund::: Career Counseling

District 1199C Training & Upgrading Fund |
Helping Today's Healthcare Workers Prepare for Tomorrow's Workplace

	Career Services Classes The classes are tuition free for members covered under the Training Fund
	Name * First Name Last Name
	Email*
	Address * City State Zip Code
	Home Phone*
	Mobile Phone
	Best time to contact you Morning Evening
	last four of social*

	Employment
	Employer* Where are you currently employed
	Position
	Shift
	Date hired Month Day Year

	Refer a co-worker Refer a co-worker to receive a discount on your textbooks
	Refer a co-worker Yes No thank you
	Co-Worker Name
	Co-worker Employer
	Co-Worker Phone
	Co-Worker Email

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