GTEC Interest Form
Take the first step toward your goals. Complete the form below to explore high school diploma and career training programs at the Goodwill Training & Education Center.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How did you hear about us?
Radio
Television (Televisión)
Friend (Amigo)
Website (Sitio web)
Sign in a Goodwill Retail Store (Firme en use tined minorista de Goodwill)
Facebook
Social Media other than Facebook (Otras redes socials)
I met a staff member at an event (Conocí a un miembro del personal en un evento)
Bus (Autobus)
Billboard (Valla Publicitaria)
Flyer (Volante)
Other
What programs are you interested in?
*
Complete high school as an adult
Training for an in-demand career
Which training certification are you interested in?
*
Please Select
Adult High School
Certified Clinical Medical Assistant
Construction
CPR
Forklift (ITO)
Basic Computer Skills (GDCA)
Google Professional Certifications
OSHA
Pharmacy Technician
Welding
Which location would you prefer?
*
Springdale, AR
Little Rock, AR
Remote
Are you ready to schedule orientation?
*
Yes, I'm ready to book!
I'd rather have someone reach out to me first
Are you ready to book your class?
*
Yes, I'm ready to book!
I'd rather have someone reach out to me first
Academy - Little Rock
Excel Center - Little Rock
Academy - Springdale
Excel Center - Springdale
Staff Name
First Name
Last Name
Did you reach out?
Yes
No
Date Reached Out
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Did you schedule orientation?
Please Select
Yes, they already booked
Yes, I booked it for them
No, revisit later
Notification 1
example@example.com
Notification 2
example@example.com
Notification 3
example@example.com
Submit
Should be Empty: