* Required Information

Harmony Health Career Training Institute, LLC Student Application Form

Please complete this form in full; this information is necessary for your enrollment in all programs.

Emergency Contact

Citizenship

Education

Highest level of education completed: Official high school transcripts/scores from the GED test must be submitted to the Admissions Office.

Employment Information

I, , certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusal of admission as a student, or for dismissal should I be enrolled.

Clear

For Office Use Only

For Office Use Only
Intended Payment form (CC, MO-payable to Harmony Health Career Training Institute, LLC.)-NO cash or checks will be accepted Invoices must be sent electronically sent via PayPal or another approved online payment vendor

Clear


Select a country first.