Course Enrollment

 

Course Enrollment 

 

Please fill out the information required to enroll in the course you selected. Once your information is entered you will receive an email stating that you have been enrolled in this course. You will then receive an email from Student Services confirming that the course has met its minimum class size and you must now pay for the course at the WTI Bookstore. If for some reason you need to cancel your enrollment please contact WTI. If the class maximum size has been met you will receive an email stating that your name is on a waiting list and will be contacted if space becomes available or that a new class has been setup for additional enrollment.
NOTE: All fields marked with asterisk(*) are required. This information WILL NOT be used to determine program eligibility or admission.

Course Number
Last Name:*
First Name:*
Middle Name:
Birth Date:*
Last 4 Digits of Social Security # (This is only visible by administration):* (The 4 Digits are encrypted and used for data entry purposes by our staff)
Street Address/ Residence:*
City:*
State:*
Zip:*
Phone:*
Email:
Mailing Address:
City:
State:
Zip:
Cell Phone:
Work Phone:
Birthplace: (city,state)*
Age:
Emer Contact: (name/relationship)*
Emer Phone:*
Emer Address:
Gender:*
Race:*
Florida Resident?*
High School/ GED Diploma?*
Must read Release and Hold Harmless Form. (By checking this box you have agreed to this document.) *
Must read School District Computer Use Agreement (By checking this box you have agreed to this document.) *