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First Name *

Last Name *

DOB *

Email *

Street *

City *

State *

Zip *

Phone *

Sex *

Male Female

Password *

Is your tuition being paid by a Sponsoring organization? *

Yes No

Please choose the sponsor from dropdown: *

Do you have a high school diploma or GED? *

Yes No

Have you lived in of Pennsylvania for the last 2 years? *

Yes No

You must request a FBI Background Check

Have you ever been convicted of a felony or other criminal record? *

Yes No

Click her to open Prohibited Offense PDF

Have you had a Pennsylvania State Police criminal background check in the past 12 months? *

Yes No

Please attach copy

Do you want us to run one for you?

Yes No

ARE YOU SURE? You must have a clear Background check performed and submitted PRIOR to the start or you may not be admitted to class

Please complete the following but ONLY if you have been a resident of Pennsylvania for 2 years or more. (Cost is $25.00).

Maiden Name or Aliases *

Social Security *

Have you had a negative PPD (Tuberculosis test) in the past nine months? *

Yes No

Please attach copy

You can get one at our office. Please call 215-495-3473 to make an appointment at least a week before classes begin

Would you like to receive a PPD at our office prior to the start of classes? *

Yes No

You can get one at our office for $35.00 or at your local clinic or Physician’s office.
You can also call our office at 215-495-3437 for assistance.

Are you sure? You must have a negative two stage PPD performed and submitted PRIOR to the start or you will not be admitted to class
Other wise you can choose Yes option

You can reserve a spot in any class with a refundable $ deposit.

Please include two government issued PICTURE ID’s. These may include State issued driver’s license or ID, Passport, Resident card etc.

SOCIAL SECURITY CARDS AND BIRTH CERTIFICATES ARE NOT AN ACCEPTABLE FORM OF ID

We accept Checks, Money orders as well as Credit and Debit cards.

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