BECOME A CERTIFIED FORK LIFT OPERATOR Student Enrollment Form - Forklift Operator Certification Thank you for your interest in our upcoming Forklift Certification Program. Please complete this form to enroll in our next cohort. 2025 Program Start Dates: February 3, 2025 March 31, 2025 June 2, 2025 If you have any questions or concerns regarding your application, please email broddy@metroboominc.org.Email(Required) Please select your desired start date.(Required) May 5, 2025 July 14, 2025 Student First and Last Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Last 4 Digits of SSNGender(Required) Male Female Primary Phone Number (Please include area code.)(Required)Secondary Phone Number (Please include area code.)(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code Current Employer (if applicable)Do you currently reside in Hinds County, MS?(Required) Yes No If so, in what city?(Required) Bolton Byram Clinton Edwards Jackson Learned Raymond Terry Utica None of these Are you a U. S. Citizen?(Required) Yes No Do you have a valid driver's license?(Required) Yes No Have you ever been convicted of a felony?(Required) Yes No If yes, please explain.(Required) Drug Crime Violent Crime Theft Sex Crime Other Felony NotListed Are up currently on probation?(Required) Yes No Highest Level of Education Completed.(Required) No High School Diploma or GED Earned High School Diploma or GED Some College Associate's Degree Bachelor's Degree Master's Degree New Entrant to the Workforce – This group will include, but is not limited to, recent high school graduates, high school dropouts, those who have been unemployed for 2 years or more due to incarceration, health challenges, or any other reason. Dislocated Worker – This group includes those who have been previously employed but have been terminated or laid off for less that 2 years. Incumbent Worker – This group includes those who are currently employed but are seeking skills to assist with career advancement.Please select the category that best describes your current employment status. New Entrant to the Workforce Dislocated Worker Incumbent Worker Unsure Thank you for your interest in Metro Booming Training Academy. To finalize your application, and agree to our terms and conditions, please check the statement below, enter your name and today's date, and type your full name.(Required) I certify that all answers and statements on this application are true and complete to the best of my knowledge. I understand that should this application contain any false or misleading information; my application may be rejected. Type Your Full Name(Required) First Last
