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AFTREAT.org Programs Application Form

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Name *

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Last

Phone *

Email *

Address

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About me. (Check all that apply)

I am in community college, I want to pursue a degree in Biology and this program will help me immensely.
I am in community college. I want to pursue a degree in Biology that pays a minimum $25/hr.
I am currently employed but want to shift to Biomanufacturing.
I am a fresher and interested in pursuing a career in Biomanufacturing and need help to get a job.
I will need help with coaching and job search.

What are your expectations from this training program? Select the right option

Pursue a Degree in Biology or Bio Manufacturing related field
Pursue a Job in a Pharma company expected to pay $25/hr in bio manufacturing or and related areas covered in the program.
Explore and learn about Biomanufacturing if it will be a good fit.

What is your highest level of Education?

Will you be open for a 10-20 min interview via phone/zoom?

Will you be able to travel on your own or will you need a ride?

Attach your resume *

Click or drag files to this area to upload. You can upload up to 10 files.

Do you currently have a Job?

Are you authorized to work in the United States?

What country were you born in?

We have specialized supports for individuals with a documented disability. Do you have a disability that you wish to disclose?

Emergency Contact Name

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Emergency Contact Email *