COURSE START DATE

Please note that VPDSD classes do not begin on Monday. The day that the class starts is noted along with the start date for each week that the class is offered.

VPDSD (evening course)

Select start date: *

No classes currently scheduled

YOUR INFORMATION

First Name *

Middle Initial

Last Name *

Last 4 Digits of your Social Security # *

Street Address *

Address Line 2

City *

State *

Zip Code *

Country

Phone Number *

Email Address *

COMPANY / EMPLOYER INFORMATION

Student Status *

Company / Employer *

HOUSING INFORMATION

Housing preference: *

non-smoking room

smoking room

I will stay off campus and do not need a room

YOUR REVIEW AND AGREEMENT IS REQUIRED

*

I hereby certify that all information I have given on this application is true and correct to the best of my knowledge and belief.

*

I understand and agree that course tuition and room & board charges are to be paid in the school's Administration Office at the time that I attend the course.

*

I understand that credit for completion of the course will not be given until all course requirements have been met and any monies owed to CMES are paid.