Once you have completed 40 hours of worksite exposure, complete this form to send a request to the agency supervisor to confirm your hours.
Sign up to receive periodic news and updates from the Center of Innovation. You may opt-in to multiple email lists below.
Agency/Organization Field: please let us know where you are employed or what school you currently attend.
Job Title: your main function (if you are youth, please note "youth" in this field.) You may also let us know if you're certified in any of our programs.
By submitting this form, you are consenting to receive marketing emails from the Center of Innovation. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact