REGISTRATION FORM

1.        See up-coming dates below.

2.        Class begins promptly at 8:00am.  Students are asked to arrive, at least, 15 minutes early.

3.        There is a $100.00 nonrefundable registration fee that is a part of the tuition.

4.        Tuition of $800, or $1600 can be paid with cashier's check or money order.  
          NO PERSONAL CHECKS ARE ACCEPTED.      

5.        Registration forms with tuition should be returned, at least,  two weeks prior to class
          to ensure seating or you may have to be scheduled for the following month.

6.        
Phlebotomy classes are held in the city of Long Beach at:

ALLIED PROFESSIONAL INSTITUTE
5199 E PACIFIC COAST HWY, STE 300N
LONG BEACH, CA 90804

(562)808-2152

EMAIL: mildredcasper@att.net
WEBSITE: www.apiedu.net

CLASS SCHEDULE FOR 2020

CLASSES ARE HELD ONCE A MONTH.  LECTURES ARE ON THE WEEKEND ONLY AND THE
EXTERNSHIP IS MONDAY THRU FRIDAY FOR ONE WEEK.

BASIC COURSE                                                               ADVANCE COURSE

                                                                                              
2020                                                                                                  2020

JANUARY 11, 12, 18, 19 AND 25                                 JANUARY 18, 19 AND 25
FEBRUARY 8, 9, 15, 16 AND 22                                   FEBRUARY 15, 16 AND 22
MARCH 7, 8, 14, 15 AND 21                                          MARCH 14, 15 AND 21
APRIL 4, 5, 11, 12 AND 18                                             APRIL 11, 12,  AND 18
MAY 2, 3, 9, 10 AND 16                                                   MAY 9, 10, AND 16           
JUNE 6, 7, 13, 14, AND 20                                             JUNE 13, 14 AND 20
JULY 11, 12, 18, 19 AND 25                                           JULY 18, 19 AND 25
AUGUST 8, 8, 15, 16 AND 22                                         AUGUST 15, 16 AND 22
SEPTEMBER 12,  13, 19, 20 AND 26                           SEPTEMBER 19, 20 AND 26
OCTOBER 10, 11, 17, 18 AND 24                                  OCTOBER 17, 18 AND 24
NOVEMBER 7, 8, 14, 15 AND 21                                   NOVEMBER 14, 15 AND 21
DECEMBER 5, 6, 12, 13 AND 19                                   DECEMBER 12. 13, AND 19

STUDENTS MUST ENROLL AT LEAST 2 WEEKS PRIOR TO THE CLASS THEY WANT TO TAKE.


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Enclosed is my $800 (Advance course only), or $1600 (Basic course only) tuition to
reserve my space in the class and a copy of my High School Diploma or GED.

Name
                                                                                                                                    
             Print name
Address
                                                                                                                                

City                                                                                                                                        

State                                            Zip Code                                                    

Phone                                                                                                                                   

Mess Phone                                                                                                                         

Signature                                                                                                                              

Class Date                                                                                                                            

EMAIL ADDRESS:                                                                                                                

How Did You Learn About The Class?                                                                   
                                                                                         

EMAIL ADDRESS OR FAX NUMBER IF YOU WOULD LIKE CONFIRMATION BY ONE OF THESE
METHODS OR IT WILL BE MAILED TO YOU:
                                                                                                   


PLEASE MAIL REGISTRATION FORM AND PAYMENT THROUGH REGULAR
MAIL TO THE ADDRESS BELOW OR CALL FOR AN APPOINTMENT TO COME
IN TO REGISTER:

Allied Professional Institute
5199 E Pacific Coast Hwy, Ste 300N
Long Beach, CA 90804
Allied Professional Institute, First Aid Instruction, Long Beach, CA