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:___________________________________________ Last 4 of SS#_______________________________________
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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