Department Of Labor Form - State Of Connecticut Page 4

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Type of Business: (check applicable)
Aerospace
Bioscience
Maritime
Plastics
Agriculture
Insurance / Finance
Metal Manufacturing
Software IT
Tourism
Healthcare
Construction
Business Technology
Food Service / Hospitality
Other
Is there a need for training/additional training for employees in your industry?
Yes
Somewhat
No
Do you feel there will be significant growth in your industry in the upcoming years?
Yes
Somewhat
No
Would a registered apprenticeship program benefit your company?
Yes
Somewhat
No
Are you already a sponsor of a registered apprenticeship program?
Yes
No
Interested in more information?
Yes
No
Would you like to be contacted?
Yes
No
Company Name:
Address:
City, State, Zip
Your name and title:
Telephone:
Fax:
Email:
Please return to:
Connecticut State Labor Department
Office of Apprenticeship Training
200 Folly Brook Boulevard
Wethersfield, CT 06109
Fax: 860.263.6088

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