CRY-ROP
1214 Indiana Court, Redlands, CA 92374
Program Interest/Pre-Registration Form
Please select the programs you are interested in
...
Certified Nurse Assistant - Day Program
Certified Nurse Assistant - Evening Program
Certified Nurse Assistant - High School Program
Certified Nurse Assistant - IET Program
Certified Nurse Assistant - Acute Care Program
Construction and Facilities Maintenance
Vehicle Maintenance Technician
Are you interested in:
More information
Ready to register
Information on payment plan
Information on funding assistance
How will the program be funded?
...
American Job Centers of CA (AJCC)-SB
Cash/Payment Plan
Department of Rehab
Equus
Other
Transitional Assistant Department (TAD)
No Tuition (HIGH SCHOOL STUDENTS ONLY)
Center for Employment Opportunities (CEO)
WAIVED
American Job Centers of CA (AJCC)-Riverside
Are you currently receiving assistance from any of these programs?
Bureau of Indian Affairs Assistance
Cal Refugee/General Relief (GR)
CalWORKs/GAIN
Cash Aid/Cal Fresh/Food Stamps/EBT
Foster Care/Child Care Assistance/Cash Aid
Free/Reduced Lunch
Housing Support Program (HSP)
JOB CORPS
Medi-Cal
PELL Grant/Board of Governors Grant
Receiving Child Support
Rehabilitation (DOR)
Supplemental Social Security (Including Disability)
TANF/Work Incentive Nutritional Supplement (WINS)
Unemployment, Welfare, General Assistance
Welfare-To-Work (WTW)/Family Stabilization (FS)
WIA/WIOA
N/A
Other
Check all that apply
What is your age group?
...
25 or Older
Under 16
16 to 24
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Please submit your information if you wish to be contacted when information becomes available for the program(s) selected above.
First Name
Middle Name
Last Name
City
County
Cell Phone
Email
Are you currently attending high school?
Yes
No
Not Selected
if yes name of high school
Name of High School
How did you hear about ROP?
...
Advertisment/Flyer
Agency Referral (TAD, Equus, DOR, etc.)
Colton Adult School
Counselor
Employer
Friend/Relative
Instructor
Previously Enrolled
Redlands Adult School
School Mailing
Social Media
Website
Yucaipa Adult School
Job Fair
Career Center
Other
Billboard
Do you need accommodations?
Yes
No
Not Selected
If yes, what accommodations are needed?
