Registration

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Registration

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*
Month
Day
Year
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*
Scheduled Start Date*
Scheduled Completion Date*
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:
Repair Technician Licensing Tuition*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
Inspector Level 2*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
Repair Technician Update Course Tuition*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
Brake & Lamp Preparation Course Tuition*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
AC Diagnostics, Repair & Certification Tuition*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
Electrical Diagnostic Course*
*Total Registration, Books, Materials & Supplies included in tuition
Price:
Level I Citation Tuition
Price:
*Total Registration, Books, Materials & Supplies included in tuition
Level II Citation Tuition*
Price:
*Total Registration, Books, Materials & Supplies included in tuition
Level III Citation Tuition*
Price:
*Total Registration, Books, Materials & Supplies included in tuition
Registration Deposit*
(Non Refundable)
Price:
Total
$0.00