Pharmacy Technician Class Interest List
Please fill out and submit this form so we may add you to the interest list for this course.


Enrollment in these courses requires an orientation provided in a STEP course.

The STEP course will include an evaluation of English reading skills as well as a mathematics skill assessment. Students who do not demonstrate a minimum understanding of English and math will be directed toward academic classes, allowing them to build the necessary skills to be successful in their career training course.

Prior to enrollment in the career training course, you will be contacted via email to select a start date for a STEP course. Once the STEP course is complete, an advisor will contact you to enroll in the career training course.

***THIS FORM DOES NOT GUARANTEE REGISTRATION INTO A CLASS***
Email *
First Name *
Last Name *
Birthdate *
MM
/
DD
/
YYYY
Student ID (if Previously Enrolled with LAUSD Adult Education) input N/A if not available
Phone Number *
May an Advisor/Counselor text message you at the phone number provided? Standard text and data charges may apply. *
Home Address *
Preferred Time of Class *
STEP ORIENTATION REQUIRED
Enrollment in these courses requires an orientation provided in a STEP course.

The STEP course will include an evaluation of English reading skills as well as a mathematics skill assessment. Students who do not demonstrate a minimum understanding of English and math will be directed toward academic classes, allowing them to build the necessary skills to be successful in their career training course.

Prior to enrollment in the career training course, you will be contacted via email to select a start date for a STEP course. Once the STEP course is complete, an advisor will contact you to enroll in the career training course.
Do you Acknowledge that these courses have a  STEP Requirement? *
Would you like more information about our Disability Support Services department? *
How did you hear about NVOC? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of LAUSD. Report Abuse
Google Forms