Workforce Development Registration Form

Phone: 803-778-6656 | Fax 803-774-6995 | Email: training@cctech.edu

Name:_____________________________________________________________

Course Name:_____________________________________________________________

Course Date:_____________________________________________________________

Course Cost:_____________________________________________________________

Online: [  ] YES [  ] NO

Date of Birth (Required):_____________________________________________________________

Sex: [  ] M [  ] F

US Citizen: [  ] YES [  ] NO

Ethnicity:

[  ] African American [  ] American [  ] Asian [  ] Hispanic [  ] White

Work Phone:_____________________________________________________________

Cell Phone:_____________________________________________________________

I authorize CCTC to text me about any registration, billing, or scheduling issues. [  ] Yes [  ] No Text message rates may apply.

Service provider name:_____________________________________________________________

Mailing Address:_____________________________________________________________

City:_____________________________________________________________

County:_____________________________________________________________

State:_____________________________________________________________

Zip:_____________________________________________________________

Company Name:_____________________________________________________________

Email Address:_____________________________________________________________

Payment Information:

[  ] Check (Payable to: Central Carolina Technical College)

[  ] Credit Card (Circle One) VISA    MC   AE

I, ______________________________________________________________________________________, hereby authorize CCTC to charge the credit card listed below according to terms outlined above. This payment authorization is for the training/services descrived above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with the credit cardf company; so long as the transaction corresponds to the terms indicated in this form.

Refunds:

A full refund will be issued for all courses seminars and workshops canceled by Central Carolina Technical College. Registrations canceled before the cutoff data, ten (10) working days before the scheduled training, will be assessed a 20% administrative fee. There will be no refund for a cancellation less than ten (10) working days prior to the start date. Refunds may be requested by mail, email, in person or by telephone. These requests are the responsibility of the registrant.

Confirmation or receipt available upon request.
Call 803-778-6656 or email training@cctech.edu

Credit Card #______________________________________________________________

Name On Card_____________________________________________________________

Card Exp_____________________________________________________________

Security Code #_____________________________________________________________

Card Billing Address_____________________________________________________________

Signature_____________________________________________________________

REGISTRATION INFORMATION

4 EASY WAYS TO REGISTER

Log-on to www.cctech.edu/training-continuing-ed/registration to print a registration form.

1. MAIL the completed registration form to:
   
   Central Carolina Technical College, WFD
   506 N. Guignard Dr. Sumter, SC 29150
   
   Please include credit card information or a check payable to Central Carolina Technical College.
2. FAX your registration form, with the credit card portion of the form completed, to: 803-774-6995
3. HAND DELIVER your registration form to a staff member at the AMTTC at 853 Broad Street in Sumter.
4. EMAIL your registration form to training@cctech.edu

ENROLLMENT INFORMATION

Course registrations are taken on a “first-come, first-served” basis. Class size is limited and it is recommended that students register at least one month in advance. Courses with low enrollment are subject to cancellation prior to class start date. In the event of cancellation, students will be notified and tuition refunded.

• Payment must accompany registration.
• When using a credit card for payment: please include card expiration date and security code. If your card is declined, alternate form of payment is necessary. STUDENT IS NOT REGISTERED UNTIL PAYMENT IS RECEIVED.
• Registration form MUST include student’s date of birth.
• Certificates will be given for each course; duplicates may be purchased for $10 each.

Confirmation or receipt available upon request.
Call 803-778-6656 or email training@cctech.edu

It is the policy of Central Carolina Technical College not to sell or otherwise distribute course materials outside the venue of controlled courses. Materials are copyrighted and all rights are reserved.

Central Carolina Technical College does not discriminate in employment or admissions on the basis of race, color, national origin, sex, gender identity, sexual orientation, genetic information, age, religion, pregnancy, childbirth, or related medical conditions, including by not limited to, lactation, disability, or any other protected class.

ALLIED HEALTH COURSES AND CERTIFICATES

American Heart Association, Fundamentals of Basic Life Support

$89 - 8 hrs.

This American Heart Association course teachers the skills of CPR for victims of all ages, use of AED, and relief for FBAO in responsive and unresponsive victims. This course is designed for health care providers who care for patients in a variety of settings, both inpatient and outpatient. Tuition includes book.

EMT Certificate Program

$1750* - 200 hrs.

This hybrid course provides technical knowledge and training to become an Emergency Medical Technician. It prepares students to give efficient care to the critically ill and injured at the scene and en route to a medical facility. This program is certified by the South Carolina Department of Health and Environmental Control. Successful completion makes students eligible to take the national certification examination. Classess will be face-to-face and online. A candidate must be a high school graduate or possess a high school equivalency dipolma (GED), be 18 years old before course completion.

Certified Nursing Assistant Certificate Program

$1199* - 108 hrs.

This program provides students with basic training in the care and delivery of health services to geriatric and/or acutely ill patients confined in short-term facilities, long-term institutions, and home care. Please Note: off-site clinicals will begin after classroom training. End dates will vary according to facility availability.

Phlebotomy Technician Certificate Program

$975* - 88hrs.

This program will prepare students for the NHA (National Healthcare Association) and CPT (Certified Phlebotomy Technician) exams. Training includes skill development in the performance of a variety of blood collection methods using proper techniques and universal precautions. Please Note: off-site clinicals will begin after classroom training. End dates will vary according to facility availability.

VARIOUS COURSE OFFERINGS

Defensive Driving

$99 - 8 hrs.

Up to four points may be deducted from your driver’s license upon successful completion of this National Safety Council Defensive Driving course. The point’s reduction may be applied every three years. Not applicable to DUI violations or suspended licenses. Classes are held in Sumter. You must pre-register and be a licensed driver to attend this training. Class dates:

Class Times:

Day classes: 8:00 a.m. to 5:00 p.m., *Evening classes: 5:30 p.m. to 9:30 p.m.

FAA Drove Certification

$2000* - 40 hrs.

This hybrid course is to help prepare commerical drone piols to take the FAA Certificate exam. Topics include: FAR 107 overview, airport operations, airspace classifications, maintenance, pre-flight inspections, and small unmanned aircraft loading. Hands-on component is included in the course. This course is not for hobbyist.

Global Career Development Facilitator (GCDF) - Online

$1250* - 120 hrs.

This online course consists of the education of career development facilitators. Core competencies of the program include: development of interpersonal skills, labor market information, career development assessments, understanding diverse populations, ethical and legal issues, career development models, employability skills, training clients and peers, program management and implementation, promotion and public relations, technology and consultation.

SHRM Exam Prep

$2200* - 36 hrs.

This course is designed primarily for individuals seeking credentials that focus on identifying and testing the knowlege and practical real-life experiences HR professionals around the world need to excel in their careers today. Earning this credential establishes you as a recognized expert in the HR field.

MANUFACTURING TRAINING

Basic Electricity - ONLINE

$575 - 25 hrs.

This online course is a study of basic electricty principles. Topics include electrical safety, atomic strucutre, Ohm’s Law, series, parallel and combination circuits, wire sizes, various types of Direct Current batteries, and Alternating Current circuits.

Manufacturing Technician

$2000* - 82 hrs.

This certification course will help give you the skills needed for high-demand jobs in advanced manufacturing. Students may earn up to five credentials upon successful completion of the program. Classroom, hands-on, online, and production simulation training throughout the program.

OSHA General Industry

$250 - 10 hrs. & $550 - 30 hrs.

These courses include Occupational Safety and Health Act required material and topics that directly relate to manufacturing. Some topics include: OHSA record keeping requirements, common violations/citations, walking and work surfaces, means of egress and fire protection, lock out/tag out, guarding, HAZCOM, etc.. It is recommended these courses be taken every three years to receive updated information from OHSA.

Six Sigma Yellow Belt - ONLINE

$250* - 10 hrs.

This online course is the first step in learninig the Six Sigma methodology. Yellow Belt training consist of the following; Lean overview, Lean Six Sigma principles, 8 areas of waste, 5-S, the data driven quality strategy called DMAIC, process mapping, as well as the various Six Sigma tools.

Technical Drawings - ONLINE

$265 - 15 hrs.

This online course covers the interpretation of technical drawings and diagrams for the following systems; electrical, hydraulic and pneumatic, refrigeration and HVAC, welding, and piping

LOGISTICS TRAINING

CDL Truck Driving Training

$4750 - 160 hrs.

The training is provided by Florence-Darlington Technical College at CCTC’s Claredon County location, the F.E. DuBose Campus. This course is designed to prepare individuals to take the Commercial Drivers examination. The program includes classroom studies, safety, hands on training, range skills, and highway instruction. There is also a dusk to dawn driving instruction module. Applicants must be at least 18 years old to drive within the state of South Carolina and 21 years old for interstate driving, possess a valid S.C. Driver’s license, and pass a criminal background check, D.O.T. drug screen & physical. A CDL beginner’s permit must be obtained prior to class.

Forklift Operator Training for Beginners

$450* - 8 hrs.

This hybrid course is designed for an individual with no experience in forklift operation. Students will learn to operate a forklift in a safe and professional manner. This program includes online instruction, written evaluation, practical training and a demonstration of competency by the trainee on the forklift. Forklift operators are required to take a refresher training course every three years for recertification.

Forklift Operation and Safety Refresher

$150 - 4 hrs.

This course is designed to meet the refresher training under OHSA regulations 29 CFR 1910.178 for experienced forklift operators. The training course includes classroom instruction, written evaluation and a demonstration of competency by the student on the forklift. Forklift operators are required to take this training every three years for recertification.

South Carolina Certified Logistics Technician

$2500* - 90 hrs.

This hybrid program offers both entry-level and incumbent workers the opportunity to demonstrate they have aquired the skills needed for technology-intensive jobs of the 21st century. The SCLC training is based on industry defined national standards for the core technical competencies of frontline material handling and distribution workers at production sites, warehouses, distribution centers and transporters. Students have the opportunity to earn 5 certifications.

*Limited tuition scholarships are available. Visit cctech.edu/training-continuing-ed or email training@cctech.edu