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Central Carolina
Manufacturing Institute
Fields with an asterisk (
*
) are mandatory.
Personal Information
Full Name
*
First Name
*
Middle/Maiden
Last Name
*
Date of Birth
*
Email Address
*
Phone Number
*
Number
Phone Type
select type
Home
Cell
Business
Other
Address
*
Mailing Address
City
State
Zip
Have you completed High School or earned a GED?
*
select type
yes
no
If no, will you graduate before the start of the program?
select type
yes
no
Availability & Interests
Which of these skills and hobbies align with your interests? (Check all that apply)
*
3D printing
Automation/Robotics
Coding and programming
Creating drawings and 3D models with computers (CAD)
Metalworking
Problem solving using math
Programming electronics
Sketching ideas of things that you would like to create
Taking things apart to understand how they work (reverse engineering)
Troubleshooting things to figure out how to repair them
Working with tools to build or repair things
Woodworking
None of the above
Why do you want to participate in the Certified Production Technician course? Please write a minimum of 100 words.
*
Submit