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.
Alt. Phone Number
Please enter a valid phone number.
How did you hear about our Adult Ed. Program?
Please Select
Radio - 103.7 NewsTalk
Radio - Other
School Website
Facebook
Instagram
Word of mouth
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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
Residential Electricity (36 Hrs.) $330
Industrial and Commercial Electricity (36 Hrs.) $330
Business and Services
Microsoft Office (24 Hrs.) $300
Office Management/Bookkeeping (40 Hrs.) $325
Health Care
Medical Terminology (22.5 Hrs.) $250
Pharmacy Technician Certification (36 Hrs.) $1485
Certified Nurse Aide (CNA) (125 Hrs.) $1650
Cosmetology
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
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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:
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