Class Registration -Ameriskills

Name*

Home Address

Street Address City State / Province / Region ZIP / Postal Code

Home Phone

Employer/Company/AT&T/Union/Century Link:

Garage/Office Location:

(We are not allowed to contact you on your AT&T phone or @att.com email address) so please provide your personal cell and email address below.)

PERSONAL CELL NUMBER:

PERSONAL EMAIL*

Classes you are interested in enrolling (check one or more):

Other class:

Method of Payment for Class Tuition is CWA Union Benefit:

Possible evenings for class:

(example Mon/Wed or Tues/Thur or Mon/Tues or Tues/Wed)

Agreement*

By clicking this box and submitting this form, you the Student, agree to the terms and conditions below and are enrolling in the class (s) you have selected above.

Notice to Student: By submitting this Enrollment Form you are signing this Enrollment Form, you are enrolling in the class you selected and representing you are intending to attend the selected class(s) when a class is formed. You may cancel this enrollment with full refund of CWA Union Training Benefit by calling Ameri-Skills and cancelling before start of class. Once class has started, if you drop the class or miss more than two classes you may not receive your “Completion Certificate” for future training benefits for a long period of time.

Security Question (REQUIRED TO SUBMIT)*

What is 12 + 48?

Name

This field is for validation purposes and should be left unchanged.

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AmeriSkills Enrollment Form

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