Certified Pharmacy Technician Self Paced Online

This application is for students enrolling in the Pharmacy Technician Training Program.

📌 Course Format

  • The Pharmacy Technician program is self paced and is offered online only.

  • Coursework includes recorded lectures,  exam preparation, and assignments.

💰 Tuition & Fees

  • Total Program Cost: $1,495

  • Enrollment Fee: $500 (non-refundable, included in tuition)

    • Covers registration, 1 certification exam attempt, and access to the online study course.

  • minimum payment of $500 is required to begin the program.

📩 Enrollment & Course Access

  • Your signed enrollment form and paid Enrollment Fee will serve as your official confirmation of enrollment.

  • Students are expected to attend live sessions and complete assignments on time.
    ⚠️ Please note: Once the first assignment is accessed, no refunds will be issued.

    Should you wish to withdraw before accessing the first module, all monies with the EXCEPTION of the nonrefundable enrollment fee will be returned to you.

📚 Course Completion & Certification

  • This program is structured but flexible — you’ll complete program requirements at your own pace.

  • After finishing all coursework, students may schedule their certification exam through HMTC.

  • Upon passing the exam, students will be recognized as certified and prepared for entry-level roles in pharmacy settings.

📞 Support

  • Instructors are available via email for additional support or clarification.

✅ Student Acknowledgment

By typing your email below, you confirm that you:

  • Understand how the Pharmacy Technician program is delivered

  • Acknowledge the non-refundable enrollment fee policy

  • Accept the program’s terms of enrollment

Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Address *
Phone Number *
Email Address *
Date of Birth *
MM
/
DD
/
YYYY
Gender
Clear selection
Preferred Pronouns
Clear selection
Emergency Contact. Please provide their name, their relationship to you, and their contact phone number.
Do you have a valid driver's license, state ID, passport, or military ID? You will be required to email a picture of your ID to the administration for verification purposes. It will be deleted once confirmed. *
Check boxes for all that apply to you. *
Required
Military Affiliation *
How did you hear about us? *
Payment.

IMPORTANT PAYMENT POLICY:

Once your application is reviewed and approved, you will receive an invoice for the total amount (minus any applicable discounts on tuition only — not the enrollment fee).

You will have 24 hours to submit your payment. If payment is not received within that timeframe, your application will be discarded, and you will be required to reapply for the program.

Please note: Seats are only reserved for students who pay at least the NONREFUNDABLE enrollment fee within the 24-hour window. No exceptions will be made.

*
Payment Schedule.

PAYMENT SCHEDULE POLICY:
For students who do not pay in full at the time of enrollment, a payment arrangement is available. Students may divide their remaining balance into up to 6 payments, with the understanding that the full balance must be paid before taking the final exam—no exceptions.

The first payment is due the Monday before your first day of class.

All remaining payments will be due weekly on Mondays, by 11:59 PM HST.

A payment is considered late if not received by the due date and time.

Late payments will incur a $15 late fee.

Returned payments will incur a $25 return fee.

Students with unpaid invoices will not be permitted to attend class until the account is brought current. Failure to comply with this schedule may result in dismissal from the program.

How many payments would you like to split your remaining balance into

*

Student Acknowledgment – Pharmacy Technician Training Program

By typing my name (or any required information) in the box below, I acknowledge and agree to the following:

I am enrolling in Hawaii Medical Training Center’s Certified Pharmacy Technician Training Program.

I understand that this course is self-paced and online only, there will be no zoom or in person meetings.

To receive a Certificate of Completion, I must:

Successfully complete and pass all course requirements

Leave a review on Google, Yelp, or the school website

All withdrawal notices must be submitted in writing or by email to the school. Text messages or verbal withdrawals will not be accepted.

Refund policy:

If I choose to withdraw before accessing the first module, I am entitled to a refund of all monies paid except the nonrefundable $500 enrollment fee.

If I withdraw after accessing the first module, no refund will be issued — no exceptions.

*
H.M.T.C. Terms of Enrollment – Pharmacy Technician Training ProgramConfirmation of Enrollment

By submitting this signed enrollment form and paying the Enrollment Fee, you are officially confirming your enrollment in Hawaii Medical Training Center’s Certified Pharmacy Technician Training Program.

Program Cost & Payment Breakdown

Total Program Cost: $1,495.00

Enrollment Fee: $500.00 (nonrefundable; includes registration, course access, and one certification exam attempt)

Remaining Balance: $995.00

Refund & Withdrawal Policy

All withdrawals must be submitted in writing or by email. Text messages or verbal withdrawals will not be accepted.

If a student withdraws before accessing the first module, all monies paid will be refunded within 60 calendar days, minus the nonrefundable $500 registration fee.

If a student withdraws after accessing the first moduleno refund will be issued — no exceptions.

Students dismissed from the program or who stop submitting assignments without formal withdrawal are still legally responsible for paying their remaining tuition balance in full.

Retake & Re-Enrollment Policy

Students who withdraw before completing the program may be eligible to re-enroll in a future course at a retake rate of $1,000, once their original balance is paid in full.

H.M.T.C. may apply the $500 Enrollment Fee toward a future enrollment if the student re-enrolls within 90 days of the original enrollment date.

Collections & Financial Liability

Students with unpaid balances at the end of the program, and without an approved payment arrangement, will be referred to a collections agency.

This may negatively affect your credit score and future employment opportunities, as many employers conduct background and credit checks.

IMPORTANT: You are legally responsible for any outstanding balance, regardless of program completion or attendance. Communicate with the Director if you are experiencing financial difficulties — we are here to help.

Program Delivery & Scheduling

The Pharmacy Technician program is conducted online only, and it is self-paced.

Students are expected to complete all required coursework.

H.M.T.C. reserves the right to adjust schedules or reschedule classes due to unforeseen circumstances.

Additional Disclosures

Participation in this training does not guarantee employment or job placement.

By signing (or entering ANY information) below, you confirm:

You understand and agree to all terms listed above.

All information you have provided is accurate and truthful. Providing false information may result in denial of enrollment or dismissal with no refund.

You grant H.M.T.C. permission to photograph or record your participation for use on social media and marketing materials.

*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of TURQUOISE WHITE.

Does this form look suspicious? Report