Home HRD Schedule HRD Registration Career Readiness Certification NC Works Career Center

Penny Wacaster

Director of College and Career Readiness & Human Resources Development
828-659-6001 ext. 137

HRD Registration

Please complete the form below. Required fields marked *.
On-line registration must be completed three (3) days prior to the scheduled start date of the class.

Course Title *

NCRC Prep

Skills to Succeed Academy

Select a course.

Begin Date *

Begin date is required.

End Date (if known)

Last Name *

Required.

First Name *

Required.

Middle Name

Street Address *

Required.

City *

Required.

State *

Select a state.

Zip/Postal *

##### or #####-####

County of Residence *

Required.

State of Residence *

Select a state.

Email Address *

Enter a valid email.

Home Phone

Cell Phone

Social Security Number Ex. 999-99-9999 *

Use 999-99-9999.

Date of birth *

Required.

Gender *

Select one.

Highest level of Education *

Select one.

High school Last Attended *

Required.

Month and Year Last attended High School *

Use MM/YYYY.

Ethnicity *

Select one.

Race *

Select one.

Employment Status *

Select one.

Citizenship *

Select one.

Head of Household *

Select one.

Disadvantaged *

Select one.

Are you currently employed *

Yes

Select Yes or No.

Certification of Accuracy *

I certify to the best of my knowledge that the information given is true and complete. I understand and agree that my electronic signature is the legal equivalent of my manual signature.

You must certify to continue.

Electronic Signature (First Name, Middle Initial, Last Name) *

Enter your electronic signature.

I acknowledge that the above typed name is my signature.

Required.

Confirm my Email *

Confirm your email.

Quick Links

HRD Application Form

HRD Registration

Certification of Accuracy *