IBT Application

IBT Application (Page 1 out of 4)

Participant Application

First Name

Last Name

Address

City

State

Zip

Email Address

Phone Number

What is your preferred language?

Total annual household income (apprx)?

$

Annually

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 out 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 out 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.