SNAP Recipients – FREE TRAINING | CDL Training | Forklift Certification

Name *

First

Last

Date of Birth *//

Social Security Number *

Legal Sex *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Does your drivers license address match your mailing address? *

Phone *

Email *

Do you receive SNAP benefits? *

SNAP - Supplemental Nutrition Assistance Program

Do you receive TANF benefits? *

TANF - Temporary Assistance for Needy Families

Do you have a bank account? *

Have you served or are serving in the military? *

Have you been convicted of any misdemeanor or felony traffic offenses? *

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If you answered yes to the previous question, please provide an explanation and the approximate date(s) of each incident

SNAP Recipients – FREE TRAINING