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Submit your information to see if you qualify and what all is involved in getting approved for training

Registration Short Form PDF

Warehouseman Training INC

3150 Mercier Street, KCMO, Suite 534, 64111


Pre-Registration
Certified Warehouseman & Material Handler


Last Name:   First Name:   Mid.Int:

Last Four SSN:  

Email:   Alt.Email:  

Address:   Apt #:  

City:   State:   Zip:  

Cell Phone:   Home Phone:  

Alt.Contact:   Alt.Phone:  

Gender:  Female    Male    Undisclosed

Following Questions to determine Sponsor (funding)

Ex-Offender:  Yes    No

Veteran:  Yes    No

Youth (17-24):  Yes    No

Dislocated Worker:  Yes    No

Drug and Alcohol Treatment:  Yes    No

Non-Custodial Parent:  Yes    No

Recieving Food Stamps:  Yes    No

Recieving Unemployment:  Yes    No

Own a Vehicle:  Yes    No

Education:  HS Diploma    GED/HiSet

Have you ever worked with Vocationoal Rehab (VR):  Yes    No

How did you hear about Us