If
under the age of 18, parental consent is
required.
Are you 18 years of age or older?
Yes or No
If
not, Parent(s) Name(s) or name of legal
guardian(s):
Mother: or
Father:
Mother Telephone (1)#:
Father Telephone (2)#:
Address:
City:
State:
Zip Code:
Cost
of Program(s) $
Enrollment
Fee:
Down
Payment on books, kit and tuition: $
Tuition
Balance:
$ or
Paid in full
Monthly
Payments:
$
Number
of Monthly Payments: $
ALL
FINANCIAL OBLIGATIONS MUST BE MET
PRIOR TO
RELEASE OF ANY INFORMATION.
I
certify that I have read and fully understand
the contents of
Virginia Capital School of
Technology’s enrollment agreement and
all
documents are filled out to my satisfaction
and I have received
a copy of the
contract-enrollment agreement.
Signature
of Applicant:
Date:
Signature
of Parent/Legal Guardian:
Date:
Mr. R. Ward
Director - Instructor
Business Consultant
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