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HCI Skills 2 Enrollment Form
Healthcare Interpreter Skills 2 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 2 Class #
(Required.)
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Have you completed or are currently enrolled in Skills 1?
(Required.)
Currently enrolled
Completed
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By filling out this form you are agreeing to be billed and pay for HCI Skills 2. You will receive a bill in the mail.
(Required.)
I understand.
