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SBCG Training Application

Sensible Business Career and Training Institute is an equal access, equal opportunity, affirmative action employer. Please print using ink, or type.

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joseph_kimbrough3853
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55 views

SBCG Training Application

Sensible Business Career and Training Institute is an equal access, equal opportunity, affirmative action employer. Please print using ink, or type.

Uploaded by

joseph_kimbrough3853
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Sensible Business Career and Training Institute

36660 Cherry Hill


Westland, MI 48185
734.620.9461

An equal access, equal opportunity, affirmative action employer that is committed to a diverse workplace.

Please print using ink, or type.

1. Social Security # _____________ — _________ — __________________

2. Name _____________________________________________________________________Preferred Name _______________________________


Last First Middle

3. Home Address
_________________________________________________________________________________________________________________________
Number & Street
_________________________________________________________________________________________________________________________
City State Zip County (if Michigan Resident)

4. Phone Number ______________________________________ 5. Gender Male / Female


6. E-mail Address _________________________________________ 7. Date of Birth __________________________________________________
Month/Day/Year
8. Citizenship a) Are you a U.S. Citizen? Yes No (If no, please go to “C”)

b) ____________________________________________ d) Foreign Student Yes No


Country of Citizenship
c) ____________________________________________ e) Visa type ____________________ f) Expiration
Date______________________________________
Permanent resident alien number (if not a U.S. citizen) Month/Day/Year

9. Ethnic Data State and federal laws pertaining to civil rights require the Institute to report ethnic data.
A = American Indian D = Asian or Pacific Islander B = White/Non-Hispanic E = Other C = Black/Non-Hispanic S = Hispanic

10. Intent I am enrolling at SBCTI for: College credit only Dual credit (high school and college credit)

11. Entry Date I plan to start at SBCTI:


__________________________________________________________________________________________________
12. Courses I plan to take the following course(s) at Sensible Business Career and Training Institute
COURSE NUMBER COURSE NAME

_______________ _________________________________________________________________________________________________________
_______________ _________________________________________________________________________________________________________
_______________ _________________________________________________________________________________________________________

13. Education. Please provide the name, city and state of the school you last attend.

_________________________________________________________________________________________________________________________
Name City State

14. Emergency Contact


_________________________________________________________________________________________________________________________
Last First Relationship
_________________________________________________________________________________________________________________________
Number & Street City State Zip
_________________________________________________________________________________________________________________________
E-mail address

15. Residence Where have you been living for the past 24 months? (Show month, date and year.) FULL DISCLOSURE REQUIRED

From: _________________ To: _________________


__________________________________________________________________________________________
Month/Day/Year Month/Day/Year Address (street, city, state)
Sensible Business Career and Training Institute
36660 Cherry Hill
Westland, MI 48185
734.620.9461
From: _________________ To: _________________
__________________________________________________________________________________________
Month/Day/Year Month/Day/Year Address (street, city, state)

To be completed by Student (or parent if applicable)


PLEASE READ CAREFULLY AND SIGN:
1.) I certify that the information I have provided on this application is accurate, true and complete. 2.) I agree to abide by the policies,
rules and regulations of Sensible Business Career and Training Institute.. 3.) I authorize my high school to furnish all academic and
personal information requested by the Office of Admissions of Sensible Business Career and Training Institute. 4.) I authorize Sensible
Business Career and Training Institute to report my academic progress to my high school. 5.) I understand that my enrollment will be
limited to courses approved by Sensible Business Career and Training Institute’s academic advisors.

___________________________________________________________ ____________________________________________________________
Applicant Signature, Date of Signing Parent Signature, Date of Signing (if applicable)

Other Admissions Information

Services Available to Students with Disabilities – SBCTI may provide the following assistance for students with disabilities: readers,
note-takers, specialized test taking, tutoring, counseling, accessible parking permits, and referral to community agencies. If you have
a disability that requires appropriate academic adjustments, please contact Student Support Services at (734) 620.9461.

Financial Aid
Some Students may qualify for tuition assistance through State Programs, Federal Agencies or Private organizations. Note: Additional
authorization and documentation may be required.

I qualify for Tuition Assistance


through:__________________________________________________________________________________________________

To be completed by Assistance Agency or Organization Staff.

1. I have been informed that _________________________________________________________________ plans to enroll for classes at


(Student Name)

Sensible Business Career and Training Institute. They have informed me that they wish to participate in the course(s) / program(s)
listed in section 12.
2. Please be advised that the above mentioned student has my approval to enroll and has the appropriate funding available to attend
class.
3. This student has the following special
needs:__________________________________________________________________________________________

_________________________________________________________________________________________________________________________
Agency Representative Signature, Date of Signing

Sensible Business Career and Training Institute approval:

_____________________________________________________ ___________________________________________________________________
Name Title Date

“All tuition and fees paid by the applicant shall be refunded if the applicant is rejected by the school before enrollment.
An applicant fee of not more than $25.00 may be retained by the school if the applicant is denied. All tuition and fees
paid by the applicant shall be refunded if requested within three business days after signing a contract with the school.
All refunds shall be returned within 30 days.”

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