Intake Application for Health Information Technology Program
IMPORTANT:   You may apply for the next session of the Health Information Technology Program by completing this form. An Advisor will contact you prior to the start date.  Please note that applications are reviewed as they are received and class seats are limited.  Completing this form does not guarantee enrollment for the next ession.

Classes are in-person.  Applicants MUST have basic computer skills and internet access outside of class in order to be accepted into the program.   Financial assistance is available.

Visit www.UpSkill.org for updated information or contact the Vocational Department at info@UpSkill.org. 

Please answer the following required questions.  ALL INFORMATION IS KEPT CONFIDENTIAL.
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