Interest Form for ECMR Energy Technician Program
Contact Information
First Name
Last Name
Email
Phone Number
Mobile Number
Have you earned a High School diploma or equivalent?
Yes
No
Are you a New York State resident?
Yes
No
Are you authorized to work in the United States?
Yes
No
Are you 17 years of age or older?
Yes
No
Zip Code
The ECMR/Energy Technician course will run from January to May 2027. Do these dates work for you?
Yes, this works
No, this does not work
Unsure at this time
We are offering the following virtual (Zoom) ECMR Recruitment Sessions. Please select all dates that work for your schedule.
Please select...
Tuesday, September 29 from 8:30am - 9:30am
Thursday, October 1 from 6:00pm-7:00pm
Saturday, October 3 from 10am-11am
Wednesday, October 7 from 12:00pm-1:00pm
How did you hear about the ECMR program?
Please select...
Library or Community Center
Local cafe or coffee shop
MCC Campus
Community Event
Social Media
Word of Mouth
Other
Opt in for Email
Yes
Opt in for Text Messaging
Yes