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Which program are you applying for?

Phlebotomy Technician Blood collection training

EKG Technician Self-paced online program

Pharmacy Technician Self-paced online program

About You

First Name *

Last Name *

Street Address *

City *

State *

ZIP Code *

Date of Birth *

Phone Number *

Email Address *

Gender

Preferred Pronouns

Emergency Contact

Name *

Phone *

Relationship to Student *

Eligibility & Requirements

Valid government-issued photo ID? *

Driver’s License, State ID, Military ID, or Passport.

Valid TB clearance? *

Age Requirement *

Do you have a criminal record? *

Have you ever been arrested for assault or another violent crime? *

Can you communicate well in English
(read, write and speak with little to no difficulty)? *

High school diploma or GED? *

Can you perform simple math
(addition, subtraction, multiplication, division)? *

Military Affiliation *

A valid military ID must be presented to receive the military discount.

How did you hear about us? *

Program & Payment

Payment Selection

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Terms & Electronic Signature

I understand that the applicable enrollment/registration fee is nonrefundable and that submitting an application alone does not secure my enrollment. I have read and agree to the program terms, payment policies, withdrawal/refund policy, and completion requirements shown above. I certify that the information I provided is accurate and truthful. I grant HMTC permission to photograph/video my participation for educational, website, social media, promotional and marketing purposes.

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Application Received!

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The owner of Hawaii Medical Training Center will contact you by text message or email to discuss the next steps for enrollment. Please watch for a message from:

□ 808-392-3037
✉️ [email protected]

Important: Submitting an application does not confirm enrollment or reserve your seat. Your enrollment is confirmed and your seat is secured only after the required enrollment fee has been paid.

Apply to Hawaii Medical Training Center

Which program are you applying for?

Which Phlebotomy program are you applying for?

About You

Emergency Contact

Eligibility & Requirements

Class Session

Program & Payment

Textbook

National Exam Study Guide

Payment Selection

Payment Schedule

Terms & Electronic Signature

Application Received!

We Would Love to Have You Join Us!

Hours

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Email