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* It is recommended for all prospective IT students (PC Repair/System Builder and basic networking) to begin their hands-on practice hours  immediately after receiving their acceptance letter from the school. From experience students who begin their 150 practice hours before their class starts perform better. Not a typical school! Register today and start your apprentice hours tomorrow.

Fill this form only to apply for a course. Incomplete applications will not be processed. If you need help filling the registration form call: (617) 298-0357

 Please provide the following contact information: Privacy Statement: Only authorized employees of Mattapan Tech will  have access to information collected from our customers and visitors and will be used strictly for business purposes.

Before filling the registration form, please take a few minutes to read the school policy.  Need more info about our courses click here

Tell us about yourself:

First Name
Last Name
Middle Initial
Date of Birth MM/DD/YYYY //
Social Security or Driver's License #
Organization
Cell Phone
Home Phone
E-mail
How did you hear about us?
Have you ever been convicted of a felony?  Yes No 
If your answer is yes, explain
 
Please provide your current address:

                   Address

                          City
                          State Zip Code

Select your course:

                                                                                                

Enter the starting date of the class you selected. For example, 12    31    2012

MM  DD YYYY

Please provide the following ordering information:

Please charge the  registration fee on my credit card for the following course 
 
                                  Select  your  course 
PC Repair /System builder - Start day : Wed. June 6, 2012, 5:30pm - 8:00pm $245
Please confirm your choice  
PC Repair /System builder - Start day : Sat. June 16, 2012, 1:00pm - 3:30pm $245
Please confirm your choice  
 
BILLING
I want to use the credit card below to pay my registration fee.
Credit Card
Cardholder Name
Credit Card Address
Credit Card #
Expiration Date M Y   CV 3-digit code
A $5 processing fee will be added to your registration fee
I agree   
 
* By submitting this form you agree to have your card charged for the amount indicated for the above class, plus the $5 processing fee.  This registration fee is non-refundable. You also agree with the school policies. You understand that  all students will have to pay separately for their books if a book is required for the class.

No application will be processed without a valid credit card. Submitting an application with a fake credit card # or expiration date may void your chance to be admitted in the school in the future.


Mattapan Technology Learning Center.
Copyright © 2001 [Town Computer]. All rights reserved.
Revised

 

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