Register Participant For Journeyman's Preparation


Location: Laurel
Dates: 04/11/2017 - 04/27/2017  Tu/Th
Class Instance ID: 962


Early Registration: $450.00 valid through Tuesday, March 28, 2017
Member Early Registration: $337.50 valid through Tuesday, March 28, 2017
Standard: $465.00 valid through Tuesday, April 11, 2017
Member Standard: $348.78 valid through Tuesday, April 11, 2017

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Student Type*
First Name*
Middle Name
Last Name*
Home Address*
Address 2
City*
State*
Zip Code*
Home Phone*   ( ) -
Mobile Phone*   ( ) -
Please provide either a Home or Mobile phone number
E-mail Address *
Social Security Number*
Date of Birth* //
Who is your current employer? *
If you're not sure if your employer is a Member Contractor,
choose the Employed By Member option, then enter the Company Verification Code.
If your company verification code is invalid,
then choose Employed by a Non-Member and type in the Company's name.
Please choose one of the options below
By submitting this form, I:
(1) understand that the enrollment fee and initial class tuition are non-refundable and
(2) I certify under penalty of perjury that all statements and information above are true and correct.
(3) If "YES" is selected in the "Are you currently employed by a IEC Chesapeake Member" field, I certify under penalty of perjury that the student being registered is employed by a IEC Chesapeake Member Contractor at the time registration is submitted. Any students found in violation of item (3) will be subject to expulsion without refund.

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