DiverseNote Mobility Program Application Applications are being accepted. Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *What city and state do you live in? *Email *Phone *How did you hear about DiverseNote Mobility? *What is your highest level of education? *I have not graduated from high schoolHigh school diploma or GEDAssociate's degreeBachelor's degreeMaster's DegreeDoctoral degreeWhat DiverseNote Mobility program are you interested in? *Intro to CybersecurityIntro to ProgrammngIntro to Data AnalyticsIntermediate ProgrammingIntermediate CybersecurityElectric Vehicle SystemsA program that is not listed hereVisit https://diversenote.mobi/programs to learn more about program options.Why do you want to take a DiverseNote Mobility program? *How would you like to attend classes? (Choose one option) *Online Days Monday and Wednesday 9 AM - 11AMOnline Evenings Monday and Wednesday 6 PM - 8 PMOnline Days Tuesday and Thursday 9 AM - 11 AMOnline Evenings Tuesday and Thursday 6 PM - 8 PMOur next programs take place in November and December. When do you prefer to start? *November 2024December 2024A different dateIf you would like a different start date, enter the date below.How would you like to pay the tuition for your program? (Choose at least one) *Michigan Works Tuition Assistance or other American Job Center officeCredentialing Assistance (Military only)MRSTuition Payment Plan (Tuition payment plans start at $250 per month with a down payment requirement. Apply for Payment PlanPay full tuitionIf you selected Michigan Works or American Job Center, and you are working with a career coach, what location are you working with and what is the name, phone number, and email address of your career coach or counselor there? If you are not currently working with a Michigan Works or American Job Center office, type N/A. *Are you currently employed? *YesNoDo you make under $45,000 a year? *YesNoDo you have a valid state ID or driver's license? *YesNoWould you Like to refer a friend to DiverseNote Mobility? Enter their first and last name and email address below.Referral 1: Enter first name, last name, and email address.Referral 2: Enter first name, last name, and email address.Referral 3: Enter first name, last name, and email address.Is there anything else you'd like us to know at this time?PhoneSubmit