Application for Student Admissions

First Name
Last Name
ADMISSION POLICY: Applicants with a high school diploma or GED are eligible to enroll in any of the programs offered by Life-Line Med Training. By signing this application you agree that all materials submitted by you for purposes of admission become the property of Life-Line Med Training.

REGISTRATION FEE: There is a $50 non-refundable registration that must be paid with the submission of this Application payable to “Life-Line Med Training”. The registration fee may be refunded if requested by the Applicant in writing to the School Director within (5) business days prior to class start date. If Applicant is not accepted by Life-Line Med Training, for any reason, all monies paid will be refunded, including, but not limited to, the application fee.

NON-DISCRIMINATION POLICY: No person shall be excluded from participation in Life-Line Med Training or be subject to any form of discrimination because of race, color, sex, national origin, religion, age, marital status, sexual orientation, veteran status, or disability.

I hereby certify that all information provided by me in this application is true and correct to the best of my knowledge. By entering my First and Last Name BELOW, as it appears on my State Issued ID I agree to the terms of registration.

First and Last Name
After submitting this form, you will be redirected to PayPal for the processing of your $50 application fee.