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ACE MV Pre-Registration Form
ACE MV Web Master
2023-11-03T17:29:55-04:00
ACE MV Pre-Registration Form
Please answer the following questions to save your spot in the class, course, or program that you are interested in. ACE MV will use this information to follow up with you and keep you informed of upcoming program details. We will not spam you or sell your contact info.
ACE MV Pre-Registration Form
Please answer the following questions to save your spot in the class, course, or program that you are interested in. ACE MV will use this information to follow up with you and keep you informed of upcoming program details. We will not spam you or sell your contact info.
Which Career Explorations programs are you interested in?
(Required)
Please select all that apply
Early Childhood Education
Wellness Workforce (Med Asst, CNA, other Health Careers)
Small Business & Entrepreneurship Certificate
Language Access (Interpreter Training)
Behavioral Health
Other (please fill in below)
Are there other programs you're interested in pursuing?
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Please select your student status:
New Student
Returning Student
This field is hidden when viewing the form
What class, program or pathway are you interested in?
This field is hidden when viewing the form
What other classes and programs are you interested in?
Early Childhood Education
Wellness Workforce (Med Asst, CNA, other Health Careers)
Small Business & Entrepreneurship Certificate
Language Access (Interpreter Training)
Behavioral Health
Not sure/Other
How did you hear about this class/program?
(Required)
Please select all that apply
Word of mouth
Social media
Email newsletter
Browsing ACEMV.org
Other/can't remember
Contact Information
Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Cell Phone
(Required)
Do we have your permission to text you?
(Required)
Yes
No
Do you currently live on the island of Martha's Vineyard?
(Required)
Yes, year-round
Yes, seasonally
Yes, when not in college
No
Mailing Address
(Required)
Street Address
City
MA
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Demographic Information
This information is required by our grantors.
Age Range
(Required)
17 or younger
18-26
27-34
35-44
45-54
55-64
65-74
75+
Gender: How do you identify?
(Required)
Female
Male
Non-Binary
Prefer not to say
Other
Race/Ethnicity
(Required)
Which of the following best describes you? Select all that apply.
Asian
Black or African American
Hispanic or Latinx
Native American/Indigenous or Alaska Native
Native Hawaiian or Other Pacific Islander
White
Multiracial or Biracial
Are you a member of the Wampanoag Tribe of Gay Head (Aquinnah)?
(Required)
Yes
No
Are you Brazilian?
(Required)
Yes
No
English Speaking Level
(Required)
Beginner
Intermediate
Fluent
Primary language spoken at home
(Required)
What is the highest level of education you have completed?
(Required)
Current high school student
Some high school, no diploma
High school diploma or GED
Some college, no degree
Associate (2 year) degree
Bachelor’s (4 year) degree
Trade school certification
Master’s degree
Doctorate degree
Which of the following best describes your current employment status?
(Required)
Employed full-time
Employed part-time
Self-Employed/Business Owner
Unemployed/Underemployed
Full-time student
Retired
Disabled
Would rather not say
If unemployed/underemployed, what is this due to? Select all that apply.
Language barrier
Lack of housing
Lack of skills
Lack of childcare
Lack of employment opportunities on island
Returning citizen (formerly incarcerated) obstacles
Other
Occupation
If unemployed, answer with your most recent occupation, business, or chosen trade
Which of the following best describes your annual income?
(Required)
Under $15,000
$15,000 to $24,999
$25,000 to $34,999
$45,000 to $54,999
$55,000 to $64,999
$65,000 to $74,999
$75,000 or more
Prefer not to say
Student Support Information
Are you able to attend in-person classes on Martha's Vineyard?
(Required)
If you don't live on island, please look up the location, ferry schedules, and cost of travel before answering.
Yes
No
Do you have access to reliable transportation to in-person classes?
(Required)
Yes
No
Do you have access to a reliable computer?
(Required)
Yes
No
Do you have access to reliable internet connection?
(Required)
Yes
No
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