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Student Information
Name
*
First
Last
Social Security Number (last 4 only)
*
XXX-XX-
Please enter a number less than or equal to
9999
.
Date of Birth
*
MM
DD
YYYY
CA DL#
State License
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Home Phone
*
Mobile Phone
Employers Information "Statement of Fact"
Business Name
Business Phone
Business Fax
Business Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Course Information
Class Schedule: Monday, Tuesday and Wednesday 6:00PM to 10:00PM
Course Name
*
Inspector Licensing - ($1,600.00)
Repair Technician Licensing - ($1,200.00)
Inspector Level 2 - ($600)
Repair Technician Update Course - ($225.00)
Brake & Lamp Preparation Course - ($600.00)
AC Diagnostics, Repair & Certification - ($225.00)
Electrical Diagnostic Course - ($225.00)
Level I Citation 8hrs - ($125.00)
Level II Citation 16hrs - ($600.00)
Level III Citation 72hrs - ($1200.00)
Scheduled Start Date
*
Month
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12
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Scheduled Completion Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Payment Options
*
All Course Tuition Fees include a $75 registration deposit that is non-refundable.
Deposit Only
Inspector Licensing Tuition
*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
$1,675.00
Repair Technician Licensing Tuition
*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
$1,275.00
Inspector Level 2
*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
$675.00
Repair Technician Update Course Tuition
*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
$300.00
Brake & Lamp Preparation Course Tuition
*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
$675.00
AC Diagnostics, Repair & Certification Tuition
*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
$300.00
Electrical Diagnostic Course
*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
$300.00
Level I Citation Tuition
Price:
$200.00
*Total Registration, Books, Materials & Supplies included in tuition
Level II Citation Tuition
*
Price:
$675.00
*Total Registration, Books, Materials & Supplies included in tuition
Level III Citation Tuition
*
Price:
$1,275.00
*Total Registration, Books, Materials & Supplies included in tuition
Registration Deposit
*
(Non Refundable)
Price:
$75.00
Total
$0.00
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