Health Careers and Diversity Education (HCDE) Programs

Please note: Any person who plans to attend a workshop should complete a registration form!

Program: 20HE021 2020 ACT Prep Strategies Workshop
Dates: 2/20/2020-2/20/2020
Times: 6:30 pm-8:30 pm
Fees: $30.00

Complete the form below to register:

Category:  

First Name:
Race:
(for Federal reporting
purposes only)







Specify:
Ethnicity:
Last Name:
Gender:
SSN:  (last 4 digits only please)
Home Address:
City/State/Zip:    
Area:
Phone:  (10 digits, no dashes or spaces)
Email:
School:
Current Grade: (numbers only)
Expected Grad. Year: (YYYY)
Birthdate: (mm/dd/yyyy)
Health Career Interest:
(please be as specific as possible)
Free or reduced lunch?
Parent/Guardian's Name:    
Relationship:  
Work/Day Phone: (10 digits, no dashes or spaces)

SAT Prep Strategies Only!

If you need to apply for a scholarship for SAT Prep Strategies please fil out the form below and send to healthcareer@mahec.net. You will not be officially registered for the program until you have paid the remaining fee.

HCDE SAT Scholarship Form Click to download form
Comments:

Your order is not complete until you check-out through the "Shopping Cart" process, even if the fees are $0. If you are having technical difficulties registering, please call 828-257-4475.