AEC Building Hope Construction Enrollment Application

Personal Information

Name

This address will receive a confirmation email

Phone

Can we send texts to this number via SMS?

Yes No

- Privacy Policy -
Amundsen Educational Center (AEC) will use your contact information only for contacting you as a prospective student of our Building Hope Construction (BHC) program, BHC student, and hopefully some day as a graduate. We will not sell your information or use it for any other purpose. AEC may contact you via mail, email, phone or SMS (if you checked yes to the box above.)

Address

Date of Birth

Social Security #

Driver's License State and Number

Gender

Male Female

Marital Status Married Not Married

# of Dependents under age 18 1 2 3 4 5+

Eligibility and Demographics

US Citizen or Resident Alien?

Yes No

Hispanic or Latino? Yes No. Not Hispanic or Latino.

Race Alaska Native or Native American Asian Black or African-American Native Hawaiian or other Pacific Islander White

Are you tribally enrolled? If yes, what tribe do you belong to?

Program Information

First time applicants should select Residential Construction. Advanced Residential Construction is for graduates of the Residential Construction program.

What program are you applying for?

Residential Construction Advanced Residential Construction

When do you hope to begin?

ASAP (As Soon as Possible) Fall 2024 (Semester begins Monday, September 2, 2024) Spring 2025 (Semester begins Monday, January 6, 2025) Other

If you answered ASAP or Other, please tell us more about your situation and your desired start date.

Are you willing to live on campus in a learning community while attending AEC?

Yes, I am interested in staying on campus at AEC.

How do you intend to pay for your training?

Personal Funds State of Alaska Workforce Investment Grants Alaska Native Regional Corporation Education Funding (BSF, BBNC, Calista, Doyon, CIRI, etc.) Tribal Funding (Kawerak, AVCP, BBNA, Village IRA) Regional Economic Development Corporation (NSEDC, BBEDC, CVRF, etc.)

US Armed Services Veteran Yes No

If yes, thank you for your service! Please tell us about any GI Bill funding you hope to utilize or military experience you would like evaluated for possible AEC credit.

Access and Support Services

Do you need physical accommodations to help complete your program?

Yes No

If you answered yes, please describe what physical accommodations you might need.

Do you need learning accommodations to help complete your program?

Yes No

First language, if other than English

Background Check

Please note that criminal history does not automatically disqualify any applicant.

Have you ever been convicted of a felony?

Yes No

If you have been convicted of a felony, please explain. Be sure to include timeframe and current status.

Have you ever been convicted of a misdemeanor?

Yes No

If you have been convicted of a misdemeanor, please explain. Be sure to include timeframe and current status.

References

Please list two references that we can contact regarding your compatibility and potential success at AEC.

Reference #1

Reference #1 Address

Reference #1 Phone

Reference #1 Email

Reference #1 Relationship to Applicant

Reference #2 Name

Reference #2 Address

Reference #2 Phone

Reference #2 Email

Reference #2 Relationship to Applicant

Marketing

How did you hear about AEC? Radio Newspaper Social Media Email School counselor or teacher Community member Friend Web Search Other

Got any friends or iluqs that would benefit from AEC? Feel free to share their name and contact information.

AEC Building Hope Construction Enrollment Application

Description

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