You must have JavaScript enabled to use this form. Required fields are marked with an asterisk '*'. Did you watch the orientation video? If not, please go back and watch the video before submitting your information to us. * Yes No Are you receiving food assistance in Buncombe County? * Yes No Name * First * Last * Phone Number * DOB? * Date for DOB must be in the following format: MM/DD/YYYY Email Address * What Program are you interested in? * Phlebotomy Nurse Aide I/CNA CDL - Truck Driver Training GED/HSE ED2GO Online Classes Other Are you already registered in a class at A-B Tech? * Yes No How did you hear about the STEP Program? * Nurse Aide/Health Occupations Program Friend/Family DHHS A-B Tech Staff or Faculty Other
