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ENROLLMENT
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Email
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Student FULL Name
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Student Phone
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Student Mailing Address (Address, City, State, Zip)
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Student Course
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Broker Pre-License
Post Licensure
Continuing Education
Course Start Month
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Winter (Typically starts in January)
Spring (Typically starts in April)
Summer (Typically starts in July)
Fall (Typically starts in September)
DISCLAIMER: Per the Illinois License Act: Applicants are to be 18 years of age or older, have completed High School or equivalent course work, have not been convicted of a felony, and be of good moral character.
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PAYMENT: Payment is due prior to the day of the first session. Payment type includes check payable to Crosby Academy and can be mailed to or hand delivered to Crosby Academy at 551 N Mulford Rd, STE B Rockford, IL 61107.
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