TAKING APPLICATIONS NOW!


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Phone: 606-789-8568

Fax: 606-789-4059


Course Name: CNC Machinist Now

APPLY ONLINE HERE

OR

DOWNLOAD AND MAIL TO:

P.O. Box 1718

Paintsville, KY 41240


ONLINE APPLICATION

Name *
Name
Date of Birth *
Date of Birth
Address *
Address
*eKAMI will request Social Security Numbers (SSN) at the time of application. The SSN will not be used as the student ID number but will be provided to entitles requiring SSN. Your SSN may be used in connection with developing, validating or administering predictive tests and assessments; Improving Instruction; internal identification of students; collection of student debts. Students who choose to not provide their SSN will be ineligible for financial aid. If you provide your SSN to eKAMI, you will consent to allow eKAMI to use numbers in manner described.
Home Phone *
Home Phone
Cell Phone *
Cell Phone
eKAMI is committed to affirmative action goals and would appreciate your response to the following:
Please include a separate page with all charges, year and location.
Are you a veteran of the U.S. Military? *
If a Veteran, do you have a VA disability rating? *
If you are age 24 and under, do any of the following apply to you?
Work History
Please enter employment history from most recent to oldest.
Other Jobs (If Applicable)
Education
SPONSOR/COMPANY INFORMATION
If you are receiving assistance from an employer, Big Sandy Action, etc. Please fill out the following
IN CASE OF EMERGENCY
Home Phone
Home Phone
Work Phone
Work Phone
My enrollment with eKAMI will signify my consent to and acceptance of all policies and procedures governing my enrollment, including financial liability. If I fail to remit payment when due, I promise to pay eKAMI all reasonable cost for collection, including collection agency fees. *
Date *
Date