Reconnect Interest Form

Start your journey toward better skills, better jobs and your brighter future today!

Indicates required field

First Name

Middle Name

Last Name

Date of Birth

Phone Number

What is your preferred method of communication?

What are your goals in returning to CCCC?

Get a job

Earn more money

Fulfill a personal dream

Develop or improve skills

Other…

What type of training are you interested in?

Can you briefly describe what type of support that CCCC could provide that would help you be successful?