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If you have any questions, please fill out this interest form and a GRID Alternatives staff member will

get in touch with you.

This form does not guarantee you will be eligible to participate in the IBT 200 program.

Please read the eligibility requirements and details about the program carefully here: https://gridalternatives.org/ibt200.

In addition, GRID Alternatives staff may ask you to fill out an application or participate in a phone screen

before you are enrolled in this program.

First Name

Last Name

Email Address

Cell Phone #

If you don't have a cell phone, please provide an alternate phone number

What region(s) are you interested in participating in?

Bay Area	CA North Coast (Upper Sonoma & North)
Central Valley	Greater Los Angeles
Inland Empire	North Valley (Sacramento/Chico areas)
San Diego	Colorado
Mid-Atlantic (DC, MD, VA & DE)	Nicaragua
Puerto Rico

To find out which GRID office is nearest to you, see our website.

I am a(n)

IndividualEmployerJob training organization

How did you find out about this job training program?

If someone referred you to this program, please provide their name: (Optional)

If an organization referred you to this program, please provide the name of the organization: (Optional)

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