Custom Fit
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Class/Course Name
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Course Date
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Company Name
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Attendee's First Name
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Last Name
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Date of Birth
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Last 4 of Social Security #
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Attendee's Address: Street
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City
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Email
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Phone Number
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Race
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Have you ever attended college/university after high school?
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Do you want more information about Custom Fit funding assistance?
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If you are a for-profit company and a W-4 or W-2 employee, you may qualify for up to 40% funding assistance.
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How did you hear about this class/course?
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