Free Google AI Essentials Course - Application "*" indicates required fields Name* First Last Email* Phone*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Your Age Group* Under age 16 16 - 18 19-24 25-34 35-44 45-54 55-64 65+ Current Employment Status* Employed Unemployed Full-time Student Are you a current Goodwill Industries of New Mexico employee?* Yes No Gender Identity* Male Female Non-binary Transgender Prefer not to state Sexual Orientation* Heterosexual/Straight Homosexual/Gay/LGBTQ+ Bisexual/Asexual Prefer not to state Marital Status:* Single Married Divorced Widowed Single, living with partner Race* American Indian/Alaskan Native Asian/Hawaiian/Other Pacific Islander Black or African American Caucasian or White Prefer not to state Ethnicity* Hispanic/Latino Ethnic Origin Not Hispanic/Latino Prefer not to state Income Level* Under $25,000 a year $25,001 - $49,999 a year $50,000 - $74,999 a year $75,000 - $99,999 a year $100,000 or above a year Prefer not to state Veteran Status* Veteran Non-Veteran Veteran family member Current Education Level* Some high school High school diploma GED Some college Associate Degree Bachelor Degree Graduate Degree Technical/vocational degree or certificate How do you plan to use this training? (Check all that apply.)* Use it at my current job Use it to find a new job Use it at school Use it at home (personal use) How did you hear about Goodwill's Google AI Essentials course?* Search engine Traditional media (Radio/TV/Newspaper) Social media (Facebook/Instagram) Goodwill (website/store/employee/case manager) Referred by family or a friend Workforce Solutions Other agency (please type agency name below) Other (please type answer below) Other*Other Agency*New ideas and projects sometimes distract me from previous ones. This is…* Very much like me Mostly like me Somewhat like me Not much like me Not like me at all Delays and obstacles (things that get in the way) don’t discourage me. This is…* Very much like me Mostly like me Somewhat like me Not much like me Not like me at all I had been obsessed with (constantly thinking about) a certain idea or project for a short time, but later lost interest. This is…* Very much like me Mostly like me Somewhat like me Not much like me Not like me at all I am a hard worker. This is…* Very much like me Mostly like me Somewhat like me Not much like me Not like me at all I often set a goal but later choose to follow a different one. This is…* Very much like me Mostly like me Somewhat like me Not much like me Not like me at all I have difficulty keeping my focus on projects that take more than a few weeks to complete. This is…* Very much like me Mostly like me Somewhat like me Not much like me Not like me at all I finish whatever I begin. This is…* Very much like me Mostly like me Somewhat like me Not much like me Not like me at all I am hard working and careful. This is…* Very much like me Mostly like me Somewhat like me Not much like me Not like me at all Would you like Goodwill's free help in finding employment and/or to enroll in 1:1 job development services?* Yes No Terms of Service If accepted for services, it is recognized that all individuals have the right to terminate his or her relationship with GINM for any reason and at any time. GINM reserves the same right. GINM adheres to the tenets of the ADA. Applications for service will be reviewed and if appropriate, you will be contacted for an initial intake. Terms of Participation Goodwill Industries of New Mexico (GINM) has the right to refuse service to program participants. GINM is a drug free workplace. GINM does not tolerate any conduct that is harassing, disruptive or forceful, including sexual harassment. GINM employs, pays, promotes, assists and trains a wide variety of people. Thus, your religious affiliation, the nature of your disability, your race or ethnicity, your age, your political affiliations, your sexual orientation, your gender, or your marital status do not matter to GINM. In addition, participants will not be subject to reprisal or retaliation for reporting, in good faith, actions that they feel violate the law. Our company is an Equal Opportunity Employer and as such affirms the right of every person to participate in all aspects of employment without regard to gender, race, color, religion, national origin, ancestry, age, marital status, sexual orientation, pregnancy, disability, citizenship, military or veteran status, gender expression and/or identity, or any other status or characteristic protected by federal, state, or local law. For full details of conditions of receiving GINM services, please contact Goodwill or consult your program handbook. READ CAREFULLY BEFORE SIGNING: I certify that the information given by me on this application for services is true and correct to the best of my knowledge and belief. I understand that any misleading or false statement, and any omission made by me, may render this application void; and if I am accepted, any inaccurate, false or misleading information on any employment documents could result in separation of services. I consent to all physical and other examination(s) required as a condition of continued relationship with GINM. I authorize GINM to verify any information provided by me and hereby release GINM from any liability associated with verification of information. I further understand that GINM is committed to providing a drug free environment.Signature (NOTE: Entering your name and submitting this application indicates that you consent to the use of electronic signatures and acknowledges that you have read and agree to our Terms of Service and Terms of Participation.)* Google AI Essentials Form