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Continuing Education Online Registration Request
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Workforce Continuing Education
Continuing Education Online Registration Request
Please don't fill out this input box.
Legal First Name
*
Middle Name
Legal Last Name
*
Birthdate
*
Ethnicity
*
Hispanic/Latino
Non Hispanic
Select One or More Races
Hispanic/Latino
Asian
Black or African American
Hawaiian/Pacific Islander
White
Gender
Male
Female
Highest Education Completed
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
GED/HSE
Adult High School
Post HS/Vocational Diploma
Associate Degree
Bachelor Degree
Master Degree or Higher
Employment
*
Please Select
1-10 Hrs/Week
11-20 Hrs/Week
21-39 Hrs/Week
40 or More Hrs/Week
Retired
Unemployed/ Not Seeking
Unemployed/ Seeking
Mailing Address
*
Apartment/Suite
City
*
State
*
Zip
*
Email Address
*
Phone Number
*
Phone Type
*
Home
Work
Cell
Which types of classes are you interested in?
Professional Crafts and Creative Arts Education
Community Service Education
Fire Education
Law Education
EMS Education
Allied Health Education
Occupational Education
To select multiple options, on a Windows computer hold the Control key, on a Mac hold the Command key
Course Number
*
Have you taken a class with us before?
*
Yes
No
Student ID Number
Registration Fee Requirement
*
I understand that payment for a class is required by the deadline date for registration.
Registration Fee Exemption(s)
NC Fire Department Personnel
NC Law Enforcement Officers
NC Rescue EMS Personnel
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Site Name
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