Forklift Training Sign-Up - West Virginia Women Work

Forklift Training Registration

Please fill out the questions below.

Name *

First

Last

Email *

What County Do You Live In? *

Monongalia, Kanawha, Clay, Marion, Harrison, etc.

Where did you learn about our training? *

report use? of

Your responses are confidential, and do not impact your participation in training or your ability to receive certification.

Household Income Range *

Total Number Of People In Your Household *

How many people live in your household (including yourself)?

Have you or a member of your household been impacted by substance use? *

Have you or a member of your household been impacted by involvement with the justice system? *

I want to learn more about the following: