Certificate & Non-Credit Program Enrollment Form

Continuing Education and Workforce Training Enrollment Form
Please fill out the form below to enroll.
I would like to enroll in the following program(s):
***Programs are listed in alphabetical order

*To select multiple programs, hold down the "Ctrl" key while selecting.
 
Company Name (if applicable):
First Name:
 
Last Name:
 
Address:
City:
State:
Zip:
Phone:
 
Email:
I am interested in completing this program:
Main Campus - Lock Haven, PA
Clearfield Campus - Clearfield, PA
DUC Campus - Harrisburg, PA
Online
 
*By clicking "Submit", you agree to pay a $25.00 non-refundable registration fee. This fee will be applied as a credit towards the total course fee. You will be directed to the payment screen after clicking submit.
  
  
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