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Please fill out this information to register for
Notary Public Seminar
Semester:
FY 2425 Academic Classes
Course Number:
NPS100
Course Section:
7
Intro Tab
Contact Information
Address
Parent Information
Academic
Additional Information
Required
is required
is Required
First Name
Required
Middle Name
Required
Last Name
Required
Email Address
Required
Date of Birth
Required
Ethnicity
Required
-- choose one --
AMER. IND/ALASK
ASIAN/PAC ISLAND
BLACK, NON HISP
CAPE VERDEAN
EGYPTIAN
HAITIAN
HISPANIC
OTHER
WHITE, NON HISP
Racial Background
Required
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Language
Required
-- choose one --
AMERICAN SIGN LANGUAGE
Amharic
Arabic
Armenian
Assyrian
Bengali
Burmese
Cambodian
Cantonese
Chinese
Croatian
Dutch
English
Farsi
French
German
Greek
Gujarti
Haitian
Hebrew
Hindi
Hmong
Hungarian
Ilocano
Indonesian
Italian
Japanese
Karen
Korean
Kurdish
Lao
Mandarin
Navajo
Nepali
Other
Pashto
Polish
Portuguese
Punjabi
Romanian
Russian
Samoan
Serbian
Somali
Spanish
Tagalog
Thai
Tongan
Turkish
Ukranian
Urdu
Vietnamese
is Required
Home Address
Street 1
Required
City
Required
State
Required
-- choose one --
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Zip Code
Required
Zip Code Extension
Home Phone
Required
Home Phone Area Code
Home Phone Exchange
Home Phone Number
Home Phone Extension
Ext:
Mobile Phone
Required
Mobile Phone Area Code
Mobile Phone Exchange
Mobile Phone Number
Mobile Phone Extension
Ext:
is Required
is Required
School Level
Required
-- choose one --
GED
High School Diploma
None
Some college, no degree
College Level
Required
-- choose one --
Never Attended College
Attended Some College
Junior
Sophomore
Freshman
is Required
Course payment is due upon registration. All courses not paid within 24 hours will be automatically dropped. Thank you.
Did you receive your education outside of the USA?
Required
-- select one --
NO
YES
Career and Education Center
12340 Woodruff Ave | Downey, CA 90241 | (562) 940-6200