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Certified EKG Technician
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Name
*
First
Last
Email
*
Phone
*
999-999-9999
Are you interested in an upcoming course?
*
Yes
No
Which course peek your interest?
*
Certified EKG Technician
Certified Patient Care Technician
Certified Optician Training
Certified Professional Coder
Certified Billing and Coding Specialist
Certified Professional Medical Auditor
Certified Residential Interior Designer
Electrician Apprenticeship
Certified HVAC Technician Training
Certified Manufacturing Associate
Certified Manufacturing Technologist
Certified Manufacturing Engineer
Select One Course
What date would you be able to start the above course?
*
99/99/9999
Have you been a Texas resident for more than 12 months? Will you be able to provide us proof of your residency with a copy of your government issued state of Texas identification card?
*
Yes, I have been a resident in the state of Texas for 12 months (or more); I can provide a state of Texas government issued identification that was issued to me 12 months ago (or more than 12 months ago)
Yes, I have been a resident in the state of Texas for 12 months; I can provide a state of Texas government issued identification that was issued to me less than 12 months ago
Yes I have been a resident in the state of Texas for less than 12 months; I have not received a state of Texas government issued identification card (my previous state drivers license or identification card has not yet expired)
No, I am not a resident in the state of Texas, therefore, I do not have a government issued identification card from the state of Texas
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