Continuing Education Registration

Your Last Name *

Your First Name *

Your Middle Initial

Any Other Names Used

Street Address *

City *

State / Province *

Zip Code *

Country (If outside of USA)

Birthdate *

i.e. June 1, 1980 write 060180

Gender

Your Email *

Day Phone *

Evening Phone

Are you a U.S. Veteran?

Yes

Class Registration

See available Classes for Online Registration

Item # *

Class Title *

Class Cost *

Start Date *

Item #

Class Title

Class Cost

Start Date

Item #

Class Title

Class Cost

Start Date

Item #

Class Title

Class Cost

Start Date

Item #

Class Title

Class Cost

Start Date

Item #

Class Title

Class Cost

Start Date

Additional Information

Which Race Do You Consider Yourself To Be? (Optional: One Only Please)

If American Indian, Other Asian, or Other Race, please indicate:

Are you of Spanish or Hispanic Origin?

Indicate (eg: Argentinean, Colombian, etc.)

U.S. Citizen? *

Yes

Limited English Proficiency?

Yes

An individual not born in the United States or whose native language is a language other than English, and who by reason thereof, has sufficient difficulty speaking, reading, writing or understanding the English language.

If you are a firefighter and interested in taking FESHE (JATC) courses: Please input your fire department's name:

Please provide your L&I number:

Student Purpose

What is your goal for attending Bates? *

What is your current working status while attending Bates?

Bates Technical College reaffirms its policy of equal opportunity and does not discriminate on the basis of race, ethnicity, color, national origin, creed, religion, sex, sexual orientation, gender identity, age, marital status, disability, or status as a disabled veteran or Vietnam era veteran in its programs and activities in accordance with college policy, and applicable federal and state statutes and regulations. Bates publications are available in alternate formats upon request by contacting the disability support services office at 253.680.7010. Inquiries regarding Bates’ non-discriminatory policies, including Title IX and ADA, should be directed to: for student matters, the Director of Student Advising, Outreach and Conduct, Bob Traufler at 253.680.7102, btraufler@batestech.edu, Downtown Campus A211. For employee matters, the Interim Director of Human Resources Ken Harden at 253.680.7180, kennith.harden@batestech.edu, Downtown Campus A326. If you need assistance due to sensory impairment or disability, contact the Disability Support Services Coordinator Dan Eberle, 253.680.7010, deberle@batestech.edu.

Please leave this field empty.

Continuing Education Registration

Class Registration

Additional Information

Student Purpose

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