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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.
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Student Information
(Required.)
First Name
Last Name
Date of Birth
Email Address
Student ID #
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Confirm your Email Address
(Required.)
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HCI Skills 1 Class #
(Required.)
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Have you completed all prerequisites? Check boxes below.
(Required.)
Introduction to Healthcare Interpreting
Medical Terminology in Spanish
Oral Assessment
Oral Assessment Score
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Please also enroll me in HCI Skills 2 now.
(Required.)
Yes
No, I will enroll later.
HCI Skills 2 class #
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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 a bill in the mail.
(Required.)
I understand.
