ONLINE ENROLLMENT - PERSONAL INFORMATION

Personal Information Step One: *Required Fields *Career Course: Accounting Services Bookkeeping Child Day Care Fitness Trainer Computer Essentials Home Inspection Legal Transcription Massage Therapy Medical Assistant Medical Claims & Billing Medical Coding Medical Transcription Office Administrator Paralegal Assistant Patient Care Technician Pharmacy Technician Veterinary Specialist Wedding & Event Planning *First Name: *Last Name: *Address: Address 2: *City: *State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY Country: *Zip Code: *Telephone: *Email:     *Retype Email:         Internet access and a valid e-mail address are required. If you are under 18 years of age you must have your parent's or guardian's permission to enroll. • If you would prefer to send in your enrollment agreement by postal mail, click on the Download Enrollment Agreement link below and mail it to U.S. Career Institute. Download Enrollment Agreement