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Enrollment Agreement for Microsemi Corp Employees (only)

Thank you for enrolling. Please read the Enrollment Agreement terms and fill out this form to continue your enrollment process.

Your Contact Information
Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Email*
Daytime Phone Number*
Course Information
Choose your course:*
Other | Not Listed Course*
Course Start Date*
MM
DD
YYYY
Billing Information
Contact For Billing
FirstLast
Contact Phone Number*
Microsemi Corp Bill to Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Agreements and Other Information
Is this your first time enrolling into one of our courses?*
Your Electronic Signature*
You can use whatever your electronic signature will be to complete your registration so long as you submit your authorization form prior to the class start date. My signature signifies that I have read and understand all aspects of this agreement to enroll in courses, including the Refund Policy, and do recognize my legal responsibilities in regard to this contract.
Click here to download the current Dunlap-Stone University academic catalog, which provides everything you need to know about our certification and degree programs, course offerings, policies and procedures, available student services, and much, much more.
I acknowledge that a copy of the course catalog has been made available to me.*
- YES
I have read and understand the terms of the Enrollment Agreement.*
- YES

Your Contact Information