Google Certificate Application

Please apply below.

Program Eligibility Requirements:

Participants must be:

Between the ages of 16 to 24 years old at the time of the application; and
A resident of Bernalillo County OR a current high school student at a school within Bernalillo County.

First Name

Last Name

Phone Number Please include area code (ex: 505-555-5555)

Email Address

Home Address

City

State

Zip

Date of Birth Select your date of birth on the calendar.

What is your employment status?

What is the highest level of education achieved? Currently Enrolled in High School or a High School Equivalency Program

Course Selection

Where did you learn about this program?

CERTIFICATION & ACKNOWLEDGEMENT I hereby certify that all representations, warranties, or statements made or furnished by me to the City of Albuquerque Economic Development Department in connection with this application are true and correct in all material respects. I understand that it is a criminal violation under New Mexico law to engage in deception and knowingly make, or cause to be made, directly or indirectly, a false statement in writing for the purpose of procuring economic development assistance from a state agency or subdivision. I further certify that no gratuities, in the form of entertainment, gifts or otherwise, were, or will be offered or given by me or my agent or representative to any officer or employee of the City with a view toward securing a recommendation of assistance or subsequent assistance or for securing more favorable treatment with respect to making a recommendation of assistance. I acknowledge and agree that the City has the discretion to award assistance as it sees fit, the assistance is subject to the availability of funding, and there is no guarantee of assistance even if applicants meet eligibility requirements. The City of Albuquerque Economic Development Department reserves the right to change the program process as it sees fit. The City of Albuquerque is a government entity and subject to the New Mexico Inspection of Public Records Act (Sections 14-2-1 et seq., NMSA 1978). Notwithstanding anything contained herein to the contrary, the City shall not be responsible to the applicant for any disclosure of confidential information pursuant to the Inspection of Public Records Act or pursuant to the City of Albuquerque’s public records act laws, rules, regulations, instructions, or other legal requirement.

Please upload a photo of a valid student ID or license. Please note there is a 9 mb file size limit.

Captcha

I understand that this is an interest form and I will be contacted by Economic Development staff regarding this request.

Please confirm all required fields are populated before submitting your form. Your form is not submitted until you see the confirmation page which includes a recap of your completed form fields.

Google Certificate Application

Program Eligibility Requirements:

Participants must be:

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