Google Certification Application

Please answer the following questions:

What is your full name? *

Are you a resident of Madison County? (You will need to provide a photo ID such as a driver’s license or passport) *

Yes

No

What is your email address? *

What is your phone number? *

Are you age 18 or over? *

Yes

No

How would you describe your computer skills? *

I am not comfortable with a computer

I know basic functions such as typing and using a mouse

I know basic skills such as email, basic internet, and social media

I know intermediate skills such as completing online forms, Zoom, and Google products

I know advanced skills such as graphics and text editors, spreadsheets, and databases

Have you taken an online class? *

Yes

No

yes|Yes no|No

Do you have a computer and adequate internet needed to complete an online course? *

Yes

No

If answered the above question 'no', do you have the ability to attend your local library or another facility to complete the course?

Yes

No

Can you commit to 10 hours a week for 6 months? *

Yes

No

Which program would you like to take? *

IT Support

IT Automation with Python

Project Management

Data Analytics

User Experience (UX) Design

Please let us know why you want to take this course. *

What is your annual household income? *

Under $20,000.00

$20,000.00 to $30,000.00

$30,000.00 to $40,000.00

$40,000.00 to $50,000.00

Over $50,000.00

This grant program has certain income and diversity guidelines. Priority will be given, but not limited to, applicants of the following groups. Do you identify as: *

A member of a diverse ethnicity or race

Having a disability

A member of an economically disadvantaged group

Having other barriers to employment

I prefer not to answer