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

First Name

Last Name

Date of Birth

Email Address

Student ID #

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* Confirm your Email Address

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* HCI Skills 2 Class #

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* Have you completed or are currently enrolled in Skills 1?

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.

I understand.