Contact Information

Attestation: I hereby declare that I am able to swim.

First Name:*

Last Name:*

ZipCode:*

Address1:*

Unit/Apt/ :

City:*

State:*

Country:*

Mobile:*

E-Mail:*

ENROLLMENT DATA

The Federal Law requires schools to report enrollment data by National Origin. Please select one or more that applies to you. Be assured this information will not be used for any other purpose except for federal reporting purposes.

Select one or more of the following races

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiin or other Pacific Islander

White

Have you previously attended a Post-Secondary Program/School?

Are you a First time Degree/Certificate seeker?

Will you be living in the Housing program?

If not in the housing program, will you live with family ?

Emergency Contacts

Contact 1 - Full Name*

Relationship*

Email*

Telephone*

Contact 2 - Full Name*

Relationship*

Email*

Telephone*

Additional Information

Birth Date:*

Gender*

SSN*

Are you a Veteran?

Marital Status*

Citizenship*

International Student (If yes, I hereby understand by selecting yes that I must have my transcripts evaluated by a qualified accredited evaluator prior to acceptance.

Are you an International Student?

Visa/I-20

Highest Level of Education?*

Please describe any current certifications or experience you have that are related to this field (welding, diving, etc.)

Transfer Credit Request- I will be requesting evaluation for Transfer Credit(s)
Please note: Commercial Divers International will allow Students to transfer in from another ADCI approved schools and may accept their hours based on receiving official transcripts and record of completed services prior to any enrollment.
Official Transcripts and an evaluation will be used to determine the appropriate hours to be transferred to provide a better educational experience.
Students who transfer will be evaluated by completing a Practical and Theoretical exam.
Prior to enrollment, CDI will provide student with the results and a reduction of tuition will be applied.

Transfer Credit Request

ADA/Accommodations/IEP I will be requesting special accommodations:

ADA/Accommodations/IEP

If you answered yes to the previous question, please tell us more about your specific needs so that we may better accommodate you.

Student Housing I will be requesting special accommodations

Student Housing

Financial Assistance Please select any of the following resources you will be using to assist you in financing your education at Commercial Divers International.

Financial Assistance

Please upload:

A copy of your High School Diploma/GED/Associates Degree or Higher

Photo ID (State ID or Drivers License)

Transcripts if applying for Credit Transfer

Instructions for upload:

Please select the type of document you will be uploading.
Click browse and select the document on your computer.
Click upload file.
Repeat for additional documents.

Documents

Program:*

When are you interested in starting:*

Are you interested in Day or Night Classes? Day classes will meet for approximately 40 clock hours every week; typically including four weekdays Tuesday through Friday 7 am to 5 pm. Night classes will meet for approximately 25 clock hours every week; typically including five weekdays Monday through Friday 5 pm to 10 pm.*

Dive Disclosure

Please click here to read the Disclosure

Attestation: I have read the disclosure*

Attestation: I have read the disclosure

Attestation: I hereby request permission to enroll for training at Commercial Divers International and hereby understand that I will not be guaranteed a seat in class until all documents and financial arrangements have been made with the Institute. I understand that I must submit all documents in a timely manner and if I fail to do so, request for enrollment will be denied and I shall forfeit my seat and opportunity for the requested start date.

Attestation*

Attestation

I understand that upon completion of this form, an Enrollment Fee of $150 is still required to be collected before enrollment can occur. I understand that if I am using V.A. benefits this fee is not applicable.

Yes, I understand that upon completion of this form, an Enrollment Fee of $150 is still required:*

Yes, I understand that upon completion of this form, an Enrollment Fee of $150 is still required:

By submitting this form, I agree that Commercial Divers International may call, text and/or email me about their educational services Message and data rates may apply. Text STOP to opt out or HELP for help.