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First Name
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Middle Initial
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Last Name
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Address Line 1
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Address Line 2
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City
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State
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Zip Code
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Email
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Phone Number
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Date of Birth
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Social Security Number
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How did you hear
about our program?
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Do you have any health related issues the school should be aware of?
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No
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Yes
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If yes, please explain.
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Have you ever been convicted of a felony?
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No
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Yes
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If yes, please explain.
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School Location
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Cleveland
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Columbus
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Course Selection. Please choose one of the following options.
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Six Month Day Class (Cleveland Location)
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Click here for this option
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Click here for this option
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Class Start Date
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January 12, 2009
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Class End Date
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July 9, 2009
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Class Days
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Monday-Thursday
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Class Times
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9:30am-2:30pm
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Class Start Date
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April 13, 2009
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Class End Date
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October 8, 2009
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Class Days
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Monday-Thursday
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Class Times
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9:30am-2:30pm
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SIx Month Day Class (Columbus Location)
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Click here for this option
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Click here for this option
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Class Start Date
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January 5, 2009
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Class End Date
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July 2, 2009
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Class Days
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Monday-Thursday
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Class Times
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9:30am-2:30pm
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Class Start Date
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April 13, 2009
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Class End Date
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October 8, 2009
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Class Days
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Monday-Thursday
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Class Times
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9:30am-2:30pm
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Six Month Night and Weekend Class (Cleveland Location)
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Click here for this option
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Click here for this option
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Class Start Date
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April 13, 2009
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Class End Date
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October 10, 2009
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Class Days
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Monday/Wednesday/
Saturday
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Class Times
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Monday and
Wednesday:
5:30-10:30pm
Saturday:
10:00am-6:00pm
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Class Start Date
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October 12, 2009
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Class End Date
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April 10, 2010
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Class Days
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Monday/Wednesday/
Saturday
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Class Times
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Monday and
Wednesday:
5:30-10:30pm
Saturday:
10:00am-6:00pm
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Six Month Night and Weekend Class (Columbus Location)
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Click here for this option
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Class Start Date
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April 13, 2009
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Class End Date
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October 10, 2009
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Class Days
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Monday/Wednesday/ Saturday
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Class Times
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Monday and Wednesday: 5:30-10:30pm
Saturday: 10:00am-6:00pm
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One Year Night Class* (Cleveland Location)
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One Year Night Class* (Columbus Location)
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Click here for this option
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Click here for this option
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Class Start Date
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April 13, 2009
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Class End Date
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April 7, 2010
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Class Days
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Monday and
Wednesday
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Class Times
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5:30-10:30pm
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Class Start Date
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April 13, 2009
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Class End Date
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April 7, 2010
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Class Days
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Monday and
Wednesday
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Class Times
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5:30-10:30pm
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*Please note that students enrolled in the one year night class option must also attend class the first
three Saturdays of the program from 10:00am-6:00pm.
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Payment Options (Total Tuition of $5,900.00). Please choose one of the following.
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Pay in full. Payment of $5,825.00 ($5,900.00-$75.00 registration fee) is due approximately
one week before school starts.
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Two one-half payments. The first payment of $2,875.00 ($2,950.00-$75.00 registration fee) is
due approximately one week before school starts. The second payment of $2,950.00 is due
halfway through the program.
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Interest fee payment plan. [Based on a balance of $5,825.00 ($5,900.00-$75.00 registration fee)]
1) $1,500.00 down and $720.84/month for six months for students enrolled in the six month option
2) $1,500.00 down and $360.42/month for 12 months for students enrolled in the one year option
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Educational Loan. Educational loan via the Sallie Mae (SLM) Financial Company. (Click Here)
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Registration Fee. Please choose how will you pay the $75 registration fee. (You will not be officially
registered until your registration fee has been received and processed).
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Check or Money Order. Please make payable to "NPTI" and send to: 5241 Wilson Mills Road,
Suite 30, Richmond Heights, Ohio 44143
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Cash. Please send to: 5241 Wilson Mills Road, Suite 30, Richmond Heights, Ohio 44143
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Credit Card Number
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Credit Card.
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Expiration Date
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Name on Credit Card
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Billing Phone Number
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Billing Address
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Amount to Charge to Card
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Certification. Type your full name in the space below to indicate that you believe the information provided
above is true and complete.
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Data Protected By
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SSL Secure Server Encryption.
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