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Application at Bennett Career Institute in Washington, DC

 
Application Information
 
 
 
 
 
 
 
 
 
 
 
 
Sex:
 Male  Female 
 
Marital Status
 Single  Widowed  Divorced  Married 
 
 
 
 
General Information
Race:
 Black  American Indian  White  Other  Hispanic 
 
US Citizen
 Yes  No 
 
 
 
 
 
Do You Need Day Care?
 Yes  No 
 
High School Graduate
 Yes  No 
 
GED
 Yes  No 
 
Have you received vocational training in the past
 Yes  No 
 
Highest grade completed
 8th Grade  9th Grade  10th Grade  11th Grade  12th Grade  College 
 
Training Desired
Choose one of the following course offered at BCI
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Full Time Day  Part Time Day  Part Time Evening 
Have you received credit hours in any of the above listed courses
 Yes  No 
 
 
 
Employment Information
 
 
 
 
 
 
 
 Hourly  Salary 

Emergency Contact
 
 
 
 
 
 
 
 
The following items must be submitted at the time of enrollment:
  • High School Diploma, GED or ATB test results
  • Two (2) forms of ID (one must be a picture ID, Social Security Card or Birth Certificate)
  • $25.00 Application Fee.
 
Date
 
 
:
 
***Upon submission of this form you will be taken to Paypal to submit your $25 application fee. You can use your Paypal account or Credit and Debit cards.
 
 
Enrollment Application Fee