Course Registration Form

RBT Ready LLC — Student Enrollment Form

Complete this form to request enrollment in the RBT Ready LLC training program. Training completion and competency assessment requirements apply prior to certification eligibility.
Student Identity

Used for student verification only.
Student Legal Name*

Legal First NameMiddle Name (If Applicable)Last Name
Birth Date*

MonthDayYear
Gender
Student Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Information
Student E-mail*
example@example.com
Mobile Number*
Current Employer (Optional)
If currently working in ABA.
Enrollment Selection
Select Enrollment Tier*
Enrollment & Agreement
Eligibility Check*

I am at least 18 years oldI understand this is exam preparation training
Agreement*

I agree to RBT Ready LLC policies and training expectations
Final Notes
What are your goals for becoming an RBT?
This helps us tailor your training experience.
How will you complete enrollment payment?
Student Notes or Questions
Optional — share questions or additional information.
Should be Empty:

RBT Ready LLC — Student Enrollment Form