Enrollment Agreement Date: 00 - 00 - 0000 PLEASE PRINT OR TYPE ☐ New Student ☐ Re-Entry Student Applicant Legal Name: (First) (Middle) (Last) Social Security #: 000 - 00 - 0000 Date of Birth: 00 - 00 - 0000 Driver’s License /ID No.: Home Telephone: (...Enrollment Agreement • January 8th, 2019
A Certificate of Completion will be issued after the certification of the training program and all tuition fees are paid in full or otherwise accounted for.