AVTEC

High School Career & Tech Ed Registration




Online Registration Instructions

Connected EducationBefore you begin to fill out this form make sure you have the following information available (click to view details):

Complete each section of the application and press the "Submit Training Application" button at the bottom of this form. A confirmation will be sent to you prior to the beginning of the course. Required Fields are in bold.

Course Registration

Registration Policy: Space is reserved on a first-come, first-serve basis, upon receipt of full payment until course is full.

Important Note: The below courses will be delivered via video teleconference (VTC) or Elluminate Live! (ELive) web conferencing software. Assignments, quizzes, tests and other activities will be delivered and submitted online throughout the week. Participants need access to a reliable Internet connection, a printer and a valid e-mail address in order to participate in this class.

For a course description flyer, click on the a course name below (requires an appropriate .pdf reader such as Foxit Reader or Adobe Reader).  Flyers are printer friendly.


Course Dates Delivery Method Materials List Time Tuition Per Student Number of Students
Introduction to Nautical Skills*

Sites MUST have Video Teleconference (VTC) Capabilities to participate.
TBA Live VTC Microsoft Word 2007 Class Materials List - Click Image to Open  Wed. 8:30-9:30 AM
$ 250 *  
Essential Computer Skills: IC3 Cert Prep Class * 01/15/13 to 04/23/13 ELive Microsoft Word 2007 Class Materials List - Click Image to Open Tues. 8:30 - 9:30 AM
or as arranged by school district
$ 250 *  

* The use of Carl Perkins funds has been preauthorized for these courses. Questions? Contact Don Levine EED-CTE, don.levine@alaska.gov Cost Totals
Tuition Total = $ 0
+ Registration Fee
Per Student
$ 25  X 0 $ 0
  Total $ 0


Person Completing This Form

Please give us your contact information for correspondence regarding this registration.
This web form uses VeriSign SSL encryption to secure your information during transmission.

Required fields are marked with a red asterisk  *

 
Your Name * Your Title *
School or District Name * Work Telephone *
Your Email Address *
 
   

Mentor Information

Every student registered for AVTEC Online courses needs to have an adult school employee who acts as the "site mentor" to assist the students and coordinate with the AVTEC course instructors as needed.  One site mentor per site is sufficient.

  Mentor 1 Mentor 2 Mentor 3 Mentor 4 Mentor 5
Name *
School *        
Phone *        
Email *        


Student Information

If you are registering more than five students, contact AVTEC Admissions at 1-800-478-5389. You may also opt to fill out this registration page twice to accommodate more students.

* Alaska Department of Labor requires that any student attending any AVTEC course provide a valid Social Security number for accountability purposes.  This information is transmitted over a secure connection (SSL), and is never shared with third parties.

** The ethnicity information is optional and confidential.  This information is used to comply with federal reporting requirements and has no effect on your status for admission to AVTEC.

  Student 1 Student 2 Student 3 Student 4 Student 5
Name (F, MI, L) *
*Social Security Number *        
AVTEC Enrollment *        
School *        
Home Address *        
Home City *        
Home ZIP *        
Date of Birth (mm-dd-yyyy) *        
Gender  *        
Email Address *        
** Ethnicity
Site Mentor's Name *        

Additional Information

Please indicate how you first learned about AVTEC    *
If the answer of above is not in the list, please tell us where you first heard about AVTEC 

Payment Information

Purchase order number, check number, or bank card information must be included in order to process online registration. Your registration is not final, and your spot in the class is not reserved until your registration is paid in full. You may also contact the Admissions Office via phone to provide payment information (1-800-478-5389).

You must select one of the payment options below: *


Submit Application

Training at AVTEC is provided without discrimination because of race, ethnic origin, sex, political affiliation, religious beliefs, or disability. By submitting this application, I agree that to the best of my knowledge the information contained in the training application is true and correct.

* Refund Policy - Refunds minus a $25 application fee will be processed for students who cancel a minimum of 10 days before the start of class. No refunds are available after the 10 day deadline has passed. Your registration is not final, and your spot in the class is not reserved until your registration is paid in full. Registration will be closed after class maximum is achieved.

I have read and understand the Connected Ed course refund policy above.

You must check the box above to submit this application.