Online Certification Course Registration Form

Online Certification Course Registration Form
Name *

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
An E-mail is required to access online training. Computer usage at our facility is available for trainees in need of reliable internet to access training.
Phone Number*
Please enter a valid phone number.
Check Boxes below(optional)

I don’t have reliable internet. I will make appointments to use NLTV computers to access training.I would like to be notified of NLTV News or Events.I would like to be notified of future advanced classes, workshops, etc.
Attach Image of Proof of Residency*

Examples: photo of HI Driverʻs License, State ID OR provide a copy of HELCO Bill or Lease/Rental Agreement. Other items may be requested for student, senior, or military discounts.
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Cost of online certification course is $100. Inquire about discounts or current promotions. Enrollment/Certification Fee for online curriculum may be paid with cash, check, or online. Cash or check payments must be made in person at our Hilo or Kona Facilities. Please make checks payable to Nā Leo ‘O Hawai‘i. Bounced checks will
result in disenrollment from the online curriculum and the inability to continue classes until a $20 fee is paid IN CASH in addition to full certification fees paid IN CASH. We encourage you to complete this course. In the event you cannot finish the training within one year, your fee will not be refunded.

You will be enrolled in classes within two business days of registration. If you do not receive an e-mail with log-in information from Nā Leo TV or Skyprep, check your spam/junk folder before contacting Nā Leo TV to report missing log-in information.
View all Nā Leo TV Policies and Procedures

Online Payment (please contact us and do not select an option if you want to pay in person)

Online Certification Course Product Image

Online Certification CourseRegistration to our Online Certification

$100.00
Item subtotal:$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

by signing below I acknowledge that my information provided is accurate. I understand and agree with the payment terms listed above.
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