Please complete form and submit your payment. Note that there is a $3.00 convenience fee applied to the registration cost. Please allow 24-48 hours for processing (excluding weekends/holidays)

Personal Information


Health Background

Educational Experience

Criminal Background Information

Do you have a misdemeanor?
Do you have a felony? *Please note that felons will be rejected* 


Submitting this form, I declare that the information contained in this application is true and complete. If information is false, I will be expelled.