CO - IBT 200 Application

IBT Application (Page 1 of 4)

Participant Application

First Name

Last Name

Address

City

State

Zip

Email Address

Date of Birth

Please enter in MM/DD/YYYY format

Phone Number

What is your preferred language?

Total annual household income (apprx)?

Are you currently receiving any form of

government assistance? (e.g. Medicaid, TANF,

SNAP, Section 8, SSI, LIHEAP, ect?)

YesNoI don't know

IBT Application (Page 2 of 4)

Demographic Information

What is your Gender?

What is your Age?

Are you disabled?

What is your Race and Ethnicity?

Are you a US military veteran or active duty service member?

IBT Application (Page 3 of 4)

What is your current housing situation?

Are you currently employed?

Employer name?

Resume (optional):

Why are you interested in this solar training program? (Please be specific about why you are passionate about receiving this training. We have a very limited number of spots for this paid training program. This answer will be used to select candidates.)

IBT Application (Page 4 of 4)

How did you hear about this program?

Please specify:

Acknowledgement

By checking on this box, I certified that all the information in this application is true and correct to the best of my knowledge.