EMERALD TRAVEL
AIRLINE/TRAVEL CONSULTANT TRAINING PROGRAM
NON CREDIT COURSE
98-025 Hekaha St. 5A, Aiea, Hawaii 96701 / Phone 808-486-7711
Email:travelclass@emeraldtravelhawaii.net
APPLICATION FOR STUDENT ENROLLMENT
PERSONAL INFORMATION
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NAME: ______________________________________ HOME PHONE: _______________________________
ADDRESS: __________________________________ CEL PHONE: ________________________________
____________________________________________ BIRTHDAY: __________________________________
EMAIL ADDRESS:_____________________________ SSN: _______________________________________
EDUCATION
HIGH SCHOOL COLLEGE OTHER
SCHOOL: ____________________ SCHOOL: _____________________ SCHOOL: _____________________
GRADUATED? YES / NO GRADUATED? YES / NO GRADUATED? YES / NO
STATE/COUNTRY: ___________ STATE/COUNTRY: ___________ STATE/COUNTRY:____________
ADDITIONAL SKILLS/INFORMATION
TYPING (wpm) _________________ Foreign Language/s _________________________________________
PLACES TRAVELED: ______________________________________________________________________
Signature: __________________________________ Date: ____________________________________
Print Name: ________________________________ Selected Date for Training: ___________________
Back
IMPORTANT INFORMATION FOR COURSE APPLICANT:
Your deposit of $200.00 is to reserve your place in the next schedule class
you have selected. Your deposit is non-refundable unless class is cancelled.
Signature acknowledges important information.
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