Course Registration with Payment Form

Registration Form
Applicant Information
Name*

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example@example.com
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About you
Previous Education (Select all that apply)*

High School Diploma / GEDSterile Processing Tech. ProgramCollege / UniversityOther
# Years of Full-time or Part-Time Experience in Sterile Processing Services (if applicable)
Current Position
What do you hope to gain from this program? (300 words or less)*
Resume or Vitae

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3 - Week Fast-Track Review Program$699.00
Geared towards passing the CBSPD or HSPA board exam

6 - Week Review Program$399.00
Geared towards passing the CBSPD or HSPA board exam

Total $0.00

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Registration Form