Biomanufacturing Workforce Training Registration Page 1 of 11 . You are 10% complete. Biomanufacturing Workforce Training First name: Required Middle name (if any): Last name: Required Suffix (if any): Home Address: Required City: Required County: Required State: Required Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip code: Required Phone: Required Alternative phone: Do you accept text messages? Required Yes No Gender: Required Female Male Non-binary Email: Required Please use a personal email address not associated with a school or employer. Date of birth: Required Age: Required Ethnicity: Required Hispanic or Latino Not Hispanic or Latino Race (select all that apply): Required White or Caucasian Asian or Asian-American Black or African-American Hawaiian or Other Pacific Islander American Indian or Alaskan Native Country of Citizenship: Required Example: United States, Canada, Mexico, Brazil Is English your primary language? Required Yes No Do you have trouble reading, writing, or speaking English at a level necessary to function in school or on the job? Required Yes No Do you have trouble following directions or problem solving at a level necessary to function in school or on the job? Required Yes No Have you ever been convicted of a crime or do you have criminal charges currently pending? Required Yes No If you have been convicted of a crime or have charges pending, please describe (This will not affect your ability to participate in the training but may preclude you from types of employment as required by law.). Required How did you learn about the Biomanufacturing Workforce Training? Required Article (website, news, magazine) Teacher or counselor Employer or colleague Family member or friend Email- newsletter Flier or poster LinkedIn Facebook/Instagram/other social media Internet search Job search workshop Event, conference, or presentation Other If "Other", please describe how you learned about this training. Required
