Phlebotomy and EKG 1st Choice CC Application *

Date

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Date of Birth

Last 4 of Social Security Number

What is the name of the High School you attended?

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Month and Date of Graduation if applicable

Emergency Contact

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Which course are you enrolling in?

Radio Description

Phlebotomy Technician Hybrid
EKG Technician Hybrid

Enrollment Criteria

Must be 18 years or older
Have a valid social security card or permanent work ID with social number
Have a valid government issued photo ID
Present high school or college transcript
Able to Read and Write English Proficiently
Participate in lab activity (blood draws) & Sign Required Consent Forms

Enter the date and time of class you want to enroll in.

Acknowledge of Refund and School Policy

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I understand and agree of school's refund policy and polices listed in the student catalog above Print or save for your records

By checking below, I confirm I meet the enrollment criteria above.

I confirm

Refund Policy School Catalog

Review Refund and School Policy by clicking the above links

Payment Options

You may pay the full amount or deposit to hold your seat. Online prices include a 3% online processing fee.

Full Amount + $725.00
Deposit + $206.00

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Sub Total

$0.00

TOTAL

$0.00

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Thank you for your application!

Hello

Thank you for your payment. You are pre-registered for a course at 1st Choice Career Centers.

Here are the next steps to complete your application:

Below is the enrollment criteria and required documents needed to complete your appication.

• 18 years of age or older

• Submit a copy of your High School or GED transcript

• Proficiency in English reading, writing, and comprehension

• Submit a Photo ID and Social Security Card

• Clear Physical and Negative TB test or screening

• Proficiency in English reading, writing, and comprehension

• Pass a Criminal Background Check

• Must sign consent/participation forms for lab practice

You may upload these documents by clicking the link below:

https://www.1stchoicecc.com/upload-your-forms

If there is a balance for your course be sure to pay by the required deadline here:

https://www.1stchoicecc.com/pay-your-balance

If you have any questions or like to bring in documents or pay the balance in person, please contact us below or respond to this email. Please make an appointment before visiting.

Address: 12914 Broadway Ave. Garfield Heights, OH 44125
Phone: 216-848-9123
Web: 1stchoicecc.com
Email: career1stchoice@aol.com

If you are needing financing to pay your balance please click on the link below for financing options or contact our office for payment plans.

Be sure to check out these options and follow up with our staff if and when approved for your loan so it can be applied to your account.

https://www.1stchoicecc.com/funding-financing

A member of our staff will contact you soon to discuss orientation and any other needed items. Thank you again for registering with 1st Choice Career Centers. We are looking forward to seeing you soon.

Sincerely,

Kenyatta Vance Anderson, FNP

Director

1st Choice Career Centers

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