Formulario de Pre-Enrolamiento | Pre-Enrollment Form

Si usted recibe este link , es porque conoce y confía en la persona que la/lo invitó. Quien gestiona su información es Oscar Sepulveda, Instructor de El Centro de la Raza. Toda la Informacion recolectada NO SE COMPARTE CON ningun organismo de gobierno ni empresa. Si tiene dudas pregunte o cierre este formulario y no lo conteste. Completando este formulario usted quedará enrolado.

Primer Nombre | First Name

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Apellido | Lastname

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Numero Telefónico | Phone Number

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Fecha de Nacimiento | Date Of Birth

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Curso | Training Program

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Edad | Age

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Zip Code

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En que Ciudad Vive? | In what city are you living?

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En que Condado vive? | In which one County are you living?

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Estado Civil | Marital Status

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Pais de Origen | Original Country

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Cómo supo de nosotros? | How did you know about Us?

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Cual es su origen | What is your origin?

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Idioma que habla en Casa | Language at Home

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Nivel de Ingles hablado | English Level Spoken

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¿Cuál es su Raza? | What is your race?

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Cuál es su grupo de edad? | What is your Age breakdown?

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Genero | Gender

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Nivel Educacional | Educational Level

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Tiene algua especialidad ? | Some expertise?

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En que país Obtuvo el Grado Academico| In what country did you get your degree?

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Cuantas Personas Viven con Usted ( más usted) ? | How many people live with you?

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Situacion laboral | Job Status

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Tipo de Trabajo | Job Type

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En que Industria | In what industry or sector

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Cuál es su rol en el trabajo? What is your role in your job?

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Nombre de la Empresa | Company Name

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Cuál es su valor hora? | What is your hour wage?

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Cuales son los gastos aproximados en un mes en su casa con todos sus miembros?

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Sus Ingresos anuales son ? | Your annual income are ?

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Sus ingresos son | Your Income are?

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Formulario de Pre-Enrolamiento | Pre-Enrollment Form

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