Continuing Education Application

NOTE: By completing this application, you WILL NOT be receiving college credit. If you would like to receive college credit you will need to complete our regular admissions application, https://fs30.formsite.com/SalinaTech/SATCApplication/index.html

First Name *

Middle Name

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Emergency Contact Information

Name *

Relationship

Phone Number *

Street Address

City

State

Zip Code

Email Address

Continuing Education Course

Continuing Education Courses (select all that apply) *

I agree to pay this course's price of: *

Please provide a picture of your DL: *

Drivers License Number: *

Date of Birth: * +

Payment Type *

PayPal - Credit or Debit (Do not have to have a PayPal account. Can pay as a guest.)

Check or Cash - Mail or Bring Check/Cash to College - Check or Cash must be received by first day of class. Exact amount only. No change will be able to be provided.