MasterPlus Enrollment Application

Career-Focused Training for Sterile Processing & Healthcare Readiness

This enrollment form is designed to support institutional best practices and California BPPE-aligned intake standards.

1. Student Information

First Name

Last Name

Date of Birth

Phone Number

Email Address

Street Address

City

State / Zip Code

2. Program Selection

Select Program

Preferred Start Date

3. Education & Eligibility

Highest Education Completed

Are you legally eligible to work in the United States?

Yes No

4. Tuition & Payment Disclosure

Total Program Tuition: $__________

Registration Fee: $__________

Books / Materials: $__________

Total Charges: $__________

Payment Plan Available: Yes / No

Select Payment Option

5. Required Disclosures

☐ I acknowledge receipt of the School Catalog.

☐ I acknowledge receipt of the Performance Fact Sheet.

☐ I understand tuition refund and cancellation policies.

☐ I understand completion does not guarantee employment.

☐ I understand transferability of credits is not guaranteed.

6. Student Signature

Electronic Signature (Type Full Name)

Date

MasterPlus maintains student records and enrollment processes in accordance with applicable state standards. Additional disclosures may be provided prior to execution of enrollment agreement.