Pre-Registration for UCM Certificate Program

Course pre-registering for:

Student First Name

Student Last Name

Student Address Line 1 (Street address, P.O. box, company name, c/o)

Address Line 2 (Apartment, suite, unit, building, floor, etc.)

City

County of Legal Residence

State of Legal Residence

ZIP Code

Email Address

Phone number (include area code)

Birth Date (Month/Date/Year)

Notes on Student: (Please include any specific information that would be helpful to make contact with the student, any student circumstances that need to be considered, etc.)

What other programs does the student have interest in? (Check all that apply) What other programs does the student have interest in? (Check all that apply) Administrative Office Assistant with Customer Service and Remote Worker Certified Medication Technician Certified Nursing Assistant with Mental Health Customer Service Call Center with Remote Worker Medical Billing and Coding Object-Oriented Software Development Using Java with Remote Worker Phlebotomy Technician Sterile Processing Technician Sustainable Materials Handling Web Development Using Javascript with Remote Worker Web Site Design with Remote Worker Unknown

Internet Access Confirmed Internet Access Confirmed I have advised this student that (s)he will need to have consistent access to a high-speed internet connection (at home, or via family, friends, library, public Wi-Fi, etc.) in order to participate in this certificate program.

First and Last name of CSL Staff

Phone number of CSL Staff (include area code & ext.)

Email address of CSL Staff

Notes: (Please include any specific information if you need us to coordinate with another CSL staff member, or any specific funding stipulations, etc.)

CSL Office Location CSL Office Location 39th Street BlendWell Community Cafe Blue Springs Buckner Eastgate Fairmount Farview Grain Valley Hawthorne Place Apartments Noland Road Oak Grove Raytown Stone Church

4 + 5 =

All financial support from the Community Services League is based on candidate eligibility and funding availability.

Educational Opportunity for All

It is the policy of University of Central Missouri to provide equal opportunity to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, we will provide reasonable accommodations for qualified individuals with disabilities.

Frequently Asked Questions

What programs are currently available for my clients?

We have several progams available for a variety of career paths. Please visit https://trainwithucm.com for our current listing of progam overviews.

What is the refund policy?

Full refunds are available up to five working days prior to the program [with the exception of supply fees for any supplies that have been issued to students prior to cancellation]. After that, no refunds are available without extenuating circumstances, but registrations are transferable to other individuals.

What is the cancellation policy?

To drop or withdraw a student from this class you must contact Extended Studies via email.

Where is the University of Central Missouri Lee's Summit Campus?

The University of Central Missouri has a campus in Lee’s Summit, MO. This campus is located at 1101 NW Innovation Pkwy, Lee’s Summit, MO 64086. Take a virtual tour of our campus.