Short-Term Training: CDL Registration

Short-Term Training

CDL Pre-Registration
Name*

First NameMiddle NameLast Name
Former Last Name(s)
Please list any former last names.
Employer
Share where you work if you're registering for this training at your employer's request.
Have you attended Mid before?*

YesNo
If yes, what was your name when you previously enrolled?
Please only enter a response if your name is different now.
Date of Birth*

MonthDayYear
Sex Assigned at Birth*

MaleFemale
Gender Identity*

MaleFemaleNon-Binary/Third GenderPrefer to Self-DescribeOther
Race*

African American or BlackAmerican Indian or Alaska NativeHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhite or CaucasianTwo or More RacesOther
Marital Status*

SingleMarried
Last Four Digits of Social Security Number*
Enter the last four digits of your social security number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*

Area CodePhone Number
Email*
How did you hear about us?*

Social MediaWebsiteEmailBrochure/FlyerRecommended By OthersOther
Select the training type you would like to complete.*

CDL Class ACDL Class BCDL Class B Passenger School Bus
Which type of truck do you prefer for training? Both manual and automatic trucks are available for CDL A training, while CDL B is only available with an automatic vehicle. While automatic transmissions are becoming more common in the trucking industry, training in an automatic truck will result in a restricted license.*

AutomaticManualI'm not sure
Click Here for the upcoming CDL Training Schedule.
Mid's CDL Short-Term Training is temporarily relocating from the College's Mt. Pleasant Campus to our partner site in Freeland due to a construction project that will last through April 2026. Hands-on training will take place at the Regen Trucking School site during this time and resume in Mt. Pleasant beginning in May 2026.

Location: Regen Trucking School, 6230 Hackett Road, Freeland, MI 48623
Training Start Date & Location - First Choice*
Training Start Date & Location - Second Choice
How will you pay?*

CashCheckCredit/DebitOther
Have you ever been convicted of a felony or misdemeanor?*

YesNo
Select your connection to military service.*

Active DutyCivilianDisabledNational GuardReservesVeteranNoneOther
What is your current education level?*

High School DiplomaGEDOther
Emergency Contact Name*

First NameLast Name
Emergency Contact Relation*
Emergency Contact Phone Number*

Area CodePhone Number
Do you have a valid driver's license?*

YesNo
If so, driver's license is issued by what state?
Select one state.
Driver's License Number*
Driver's License Expiration Date*

MonthDayYear
Date
By registering for this training, you are granting Mid Michigan College permission to share your personal information with State and Federal reporting and funding agencies.
Signature*

Clear
Today's Date*

MonthDayYear
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