New England Casino Career Institute
Application for Enrollment

First & Last Name *

Address *

Phone Number *

E-mail Address *

Age * ( Must be 18 Years of Age )

Referred by/How did you first hear about us?*

Which class or classes do you wish to register for?

Can you attend daytime classes
10 am to 2 pm?

Yes

Can you attend afternoon classes
2 pm to 6 pm?

Yes

Can you attend evening classes
5 pm to 9 pm?

Yes

Can you commit to
10 - 20 hours a week?

Yes

I Have Read and Agree *

Enroll Now