Center for Financial Training | Atlantic and Central States: Self-Paced 10 Course Bundle Registration

Self-Paced 10 Course Bundle Registration

Click Here to Download a Self-Paced 10 Course Bundle Registration Form

Student Information

(Required fields are indicated in RED.)

First Name:

Last Name:

Last 4 digits of SS number:

Employer Name:

Title:

Employer Mailing/Street Address:

Employer City/State/Zip:

Work Phone #:

Home Phone:

E-Mail Address:

Home Mailing/Street Address:

Home City/State/Zip:

Payment Method :

Please Bill My Employer (authorization and payment arrangements with your employer will be verified prior to your registration into this program)

Authorized by:
Phone #

Bill Credit Card (CFT Personnel will contact you for credit card information prior to processing registration):

Yes or No

Course Selection

Course Title 1:
Course Title 2:
Course Title 3:
Course Title 4:
Course Title 5:
Course Title 6:
Course Title 7:
Course Title 8:
Course Title 9:
Course Title 10:

Other Information (Optional)

Male
Female

African American
Asian
American Indian
Caucasian
Hispanic
Other

Academic Integrity

CFT strongly supports the concept of academic integrity and seeks to foster sound moral behavior in its students. Academic dishonesty can take many form, including cheating on examinations, plagiarism, aiding others to commit dishonest acts, etc. This activity will not be tolerated. Students engaging in academic dishonest are subject to immediate expulsion form the course and a failing grade. Notification regarding these actions will be made to the Human Resources Director of the student's employer.

Student Disclosure

I hereby agree that I have read the withdrawal policy and academic integrity statement contained on this web site, and fully understand their meaning. I authorize CFT to release my grades to the appropriate representative at my financial institution. I understand that if I fail to meet the tuition reimbursement requirements of my financial institution, I will be held personally responsible for tuition and fees to my financial institution and/or CFT, as well as any fees associated with the collection of these balances.

I confirm that I understand the student disclosures and authorize CFT to release information about this course to my employer.

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