WTAE STUDENT REFERRAL FORM

Thank you for your referral to the WTAE-Career Training Program. While we are thankful for your program support, please keep in mind that students MUST meet the following criteria:

Indiana ID
High School Diploma or High School Equivalency
Social Security Card
Qualifying TABE score

Reference Information:

Name:(Required)

Title:(Required)

Company/Organization:(Required)

Student Information:

Name:(Required)

Program:(Required)

CCMA (Certified Clinical Medical Assistant)

Dental Assistant

Medical Office Administrative Assistant

Pharmacy Technician

Sterile Processing Technician

HVAC Technician

Welding

Plumbing Pre-Apprenticeship

Electrician Pre-Apprenticeship

Additional Information:

Type additional information in the box below

Student must complete the registration process at adulted.info/careers. Thanks!

CT Team

WTAE STUDENT REFERRAL FORM

Reference Information:

Student Information:

Additional Information:

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