REGISTRATION FORM 1. See up-coming dates below. 2. Class begins promptly at 8:00am. Students are asked to arrive, at least, 15 minutes early. 3. There is a $150.00 nonrefundable registration fee that is a part of the tuition. 4. Tuition of $900, or $1800 can be paid with cashier's check or money order. NO PERSONAL CHECKS ARE ACCEPTED. WE ACCEPT ALL MAJOR CREDIT CARDS. 5. Registration forms with tuition should be returned, at least, two weeks prior to class to ensure seating or you may have to be scheduled for the following month. 6. Phlebotomy classes are held in the city of Long Beach at: ALLIED PROFESSIONAL INSTITUTE 5199 E PACIFIC COAST HWY, STE 300N LONG BEACH, CA 90804 (562)808-2152 EMAIL: mildredcasper@att.net WEBSITE: www.apiedu.net CLASS SCHEDULE FOR 2021 CLASSES ARE HELD ONCE A MONTH. LECTURES ARE ON THE WEEKEND ONLY AND THE EXTERNSHIP IS MONDAY THRU FRIDAY FOR ONE WEEK. BASIC COURSE ADVANCE COURSE 2021 2021 JANUARY 9, 10, 16, 17 AND 23 JANUARY 16, 17 AND 23 FEBRUARY 6, 7, 13, 14 AND 20 FEBRUARY 13, 14 AND 20 MARCH 6, 7, 13, 14 AND 20 MARCH 13, 14 AND 20 APRIL 10, 11, 17, 18 AND 24 APRIL 17, 18, AND 24 MAY 1, 2, 8, 9 AND 15 MAY 8, 9, AND 15 JUNE 5, 6, 12, 13, AND 19 JUNE 12, 13 AND 19 JULY 10, 11, 17, 18 AND 24 JULY 17, 18 AND 24 AUGUST 7, 8, 14, 15 AND 21 AUGUST 14, 15 AND 21 SEPTEMBER 11, 12, 18, 19 AND 25 SEPTEMBER 18, 19 AND 25 OCTOBER 9, 10, 16, 17 AND 23 OCTOBER 16, 17 AND 23 NOVEMBER 6, 7, 13, 14 AND 20 NOVEMBER 13, 14 AND 20 DECEMBER 4, 5, 11, 12 AND 18 DECEMBER 11. 12, AND 18 STUDENTS MUST ENROLL AT LEAST 2 WEEKS PRIOR TO THE CLASS THEY WANT TO TAKE. -------------------------------------------------------------------------------------------------------------- Enclosed is my $900 (Advance course only), or $1800 (Basic course only) tuition to reserve my space in the class and a copy of my High School Diploma or GED. Name Print name Address City State Zip Code Phone Mess Phone Signature Class Date EMAIL ADDRESS: How Did You Learn About The Class? EMERGENCY CONTACT INFORMATION: PLEASE MAIL REGISTRATION FORM AND PAYMENT THROUGH REGULAR MAIL TO THE ADDRESS BELOW OR CALL FOR AN APPOINTMENT TO COME IN TO REGISTER: Allied Professional Institute 5199 E Pacific Coast Hwy, Ste 300N Long Beach, CA 90804 |