Student Application Form

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PERSONAL INFORMATION:

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Date of Birth

Gender

Female
Male
Other

COURSES

4-WEEK COURSE
6-WEEK COURSE
8-WEEK COURSE
12-WEEK COURSE

EDUCATIONAL BACKGROUND:

High School:

Year Graduated:

College/University:

Year Graduated:

Degree Earned:

Year Graduated:

WORK EXPERIENCE:

Company:

Position:

Duration of Employment:

REFERENCES:

Name

First

Last

Relationship:

Contact Number:

Name

First

Last

Relationship:

Contact Number:

ADDITIONAL INFORMATION:

Please provide a brief statement as to why you want to attend Case Management University:

Please list any special skills or qualifications that you possess:

By signing below, I certify that all information provided on this application form is true and accurate to the best of my knowledge.

Signature png, jpg (optional)

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Date / Time

Terms & Agreement, Privacy Policy & Refund disclaimers

Click to read Refund Disclaimer

Click to read Privacy Policy

Click to read Terms of Agreement

Refund Policy

I have read and accepted all the policies and agreements.

Our refund policy:We understand that plans can change, and we want to be fair in our refund policy. If you need to cancel, please note that if you do so four weeks before classes start, you will receive a full refund. If you cancel two weeks before, a 50% refund will be issued. Unfortunately, no refund will be available for cancellations made within one week of the start date. Please contact us about our payment plan at info@casemanagementuniversity.com.
(A $250 payment needs to be made to reserve a seat in the class. An invoice will be sent once we receive the application form.)

Stripe $250 payment / Reserve a seat in the class

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