ADOM-VCS: Adult Learning Registration: Catechist Certification Courses
Spring II 2020 Session Dates: April 6 - May 23 (All students will need access to Chrome or Firefox browser)
Last Name *
*You MUST use your full legal name (same as what is on your contract and/or Educator Certificate)*
Your answer
First Name *
*You MUST use your full legal name (same as what is on your contract and/or Educator Certificate)*
Your answer
Email Address *
THIS WILL BE YOUR USERNAME (course info, updates, etc.) - if you completed a virtual course via a previous session, you MUST use the SAME EMAIL ADDRESS USED IN PREVIOUS SESSIONS (to keep track of all courses completed).
Your answer
Primary Phone Number *
Format: 555-555-5555
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Last 4 digits of Social Security Number *
Format: 1234
Your answer
School Name *
Type the entire school name
Your answer
School City *
Your answer
School State *
2 letter abbreviation (example: FL)
Your answer
Job Title/Position *
choose one
Religion *
Your answer
Course Selection - Course 1 *
Choose 1 course. Each course is $45. You may take two courses each session.
Course Selection - Course 2 *
Choose 1 course. Each course is $45. You may take two courses each session.
FACTS - Course Tuition *
* The information regarding course payment will be on the confirmation screen, after submitting this form; the tuition is $45 for one course and $90 for two courses.
Required
Course Selection *
* ADOM-VCS cannot advise on the courses you need - for questions about courses needed, please ask the MIP Coordinator from your school.
Required
Registration/Enrollment Confirmation *
* Your username and password will be emailed to you, at the email address provided, on April 5 - courses start April 6 (you will need either Chrome or Firefox browsers).
Required
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