KuaraTech Student Application & Enrollment Interest Form

1
Full Name* This field is required.
First Name
Middle Name
Last Name
2
Email* This field is required.
example@example.com
3
Mobile Phone* This field is required.
Please enter a valid phone number.
4
City/State* This field is required.
5
Which live online class group would you like to join?* This field is required.
Saturday — 9:00 AM to 12:30 PM
Sunday — 9:00 AM to 12:30 PM
6
Why do you want to join Foundational Courses?* This field is required.
7
What technology career interests you most?* This field is required.
Please Select
Please Select
IT Support
Cybersecurity
Cloud
Not Sure Yet
8
How do you plan to pay?* This field is required.
Full Payment — $2,500 discounted tuition (save $497)
Payment Plan — $2,997 total tuition with $1,000 initial deposit
9
Would you like an admissions advisor to contact you?* This field is required.
Yes
No
10
I understand this is an application for KuaraTech Foundational Courses and does not guarantee admission.* This field is required.
I understand this is an application for KuaraTech Program 01 and does not guarantee admission.
11
Applicant Signature* This field is required.
12
Date* This field is required.
Date
Month
Day
Year
13
Email Address
example@example.com
14
Phone Number
Please enter a valid phone number.
15
Preferred Contact Method for Admissions Communications
Email
Text Message
Phone Call
16
Choose Your class
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ORDER SUMMARY
Total costUSD
Full Payment — $2,500 discounted tuition (Save $497)
One-time discounted full tuition.
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Payment Plan Initial Deposit — $1,000
Required initial deposit toward the $2,997 payment-plan tuition; $1,997 remains after deposit.
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Total cost
Debit or Credit Card
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