Adult Education Registration
CareerTech, 2463 Loop Rd. Chambersburg, PA 17202
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Full Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Male
Female
Race/Ethnic background
*
Please Select
American Indian/Alaska Native
Black
Hispanic
White
Multi-racial/ethnic
Asian
Native Hawaiian or Other Pacific Islander
Are you considered: a Single Parent?
*
Please Select
No
Yes
Are you considered: a Displaced Homemaker?
*
Please Select
No
Yes
Are you considered: Limited English Proficient?
*
Please Select
No
Yes
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alt. Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about our Adult Ed. Program?
Please Select
Radio - 103.7 NewsTalk
Radio - Other
School Website
Facebook
Instagram
Word of mouth
Back
Next
Are you currently employed? If yes, where?
Select your class:
Building & Construction
Refrigeration and A/C Basics (36 Hrs.) $330
HVAC EPA 608 Certification (9 Hrs.) $248
Business and Services
Microsoft Office (24 Hrs.) $300
Office Management/Bookkeeping (40 Hrs.) $325
Health Care- This form will be followed up with additional information concerning the class from the program coordinator. The CNA program has required documents prior to enrollment.
Medical Terminology (22.5 Hrs.) $250
Pharmacy Technician Certification (36 Hrs.) $1485
Certified Nurse Aide (CNA) (125 Hrs.) $1650
Cosmetology - This form will be followed up with additional information concerning the class from the program coordinator.
Nail Technician License (200 Hrs.) $2420
Esthetician License (300 Hrs.) $3410
Cosmetology Teacher’s License (500 Hrs.) $4950
Cosmetologist License (1200 Hrs.) $12650
Manufacturing
Basic CNC Machining (60 Hrs.) $715
Intro to Machining (Manual and CNC) (125 Hrs.) $1375
Short-Term Welding (150 Hrs.) $2970
Long-Term Welding (300 Hrs.) $5940
Industrial Maintenance (Mechatronics)(184Hrs.) $3300
Transportation
PA State Emissions (8 Hrs.) $200
MACS 609 Certification (9 Hrs.) $200
PA State Auto Inspection (12 Hrs.) $225
Basic Small Engine Repair (24 Hrs.) $330
Back
Next
Payment Information
Registrants may pay via credit card, mail payment to CareerTech at the above address, or pay in person at the CareerTech Adult Education Office anytime Monday-Thursday from 8am-4pm. Phone: 717-263-9033.
Total Due:
Submit
Should be Empty: