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HCI Skills 1 Enrollment Form
Healthcare Interpreter Skills 1 Enrollment Form
After completing this form you will be enrolled in HCI Skills 1. You will receive a confirmation email within 1-3 days.
*
Student Information
(Required.)
First Name
Last Name
Date of Birth
Email Address
*
Confirm your Email Address
(Required.)
*
Have you created your
Continuing Education registration account
yet?
This is a
separate
account from your regular Madison College account that you may have used before and is required to register for this class.
Your madisoncollege.edu credentials will NOT work. You must create a new account if you have not already. The website should look like the image above, that's how you know you're in the right place!
(Required.)
Yes, I have created a Continuing Education account
No, the site I have an account on does not look like the image above. If no, please make an account now.
*
Have you completed all prerequisites? Check boxes below.
(Required.)
Medical Terminology in Spanish
Oral Assessment
Oral Assessment Score
*
Please also enroll me in HCI Skills 2 now.
(Required.)
Yes
No, I will enroll later.
*
By filling out this form you are agreeing to be billed and pay for HCI Skills 1 (and Skills 2 if enrolling at the same time). You will receive an email with a link to pay.
(Required.)
I understand.
