AVTEC

High School Career & Technical Education

                    Alaska's Institute of Technology

Online Registration Instructions

Connected EducationBefore you begin to fill out this form make sure you have the following information available (click to view details):

Complete each section of the application and press the "Submit Training Application" button at the bottom of this form. A confirmation will be sent to you prior to the beginning of the course. Required Fields are in bold.

Course Registration

Registration Policy: Space is reserved on a first-come, first-serve basis, upon receipt of full payment until course is full.

Important Note: The below courses will be delivered via video teleconference (VTC) or  Elluminate Live! (ELive) web conferencing software. Assignments, quizzes, tests and other activities will be delivered and submitted online throughout the week. Participants need access to a reliable Internet connection, a printer and a valid e-mail address in order to participate in this class.

For a course description flyer, open PDF document below (requires an appropriate .pdf reader such as Foxit Reader or Adobe Reader).  Flyers are printer friendly.

PDF Document Course Descriptions Flyer
Course Delivery Method Materials List Dates Time Tuition How Many
Students?
Microsoft Word 2007 ELive Microsoft Word 2007 Class Materials List - Click Image to Open TBA 10:10-11:10 AM
or as arranged by district
$225 Per Student*
Nautical Sciences Live VTC Microsoft Word 2007 Class Materials List - Click Image to Open TBA  8:30 - 9:30 AM $225 Per Student*
Internet and Computing Core(IC3) ELive Microsoft Word 2007 Class Materials List - Click Image to Open TBA Arranged by District $225 Per Student*
           Registration Fee $25 $25
           Total:

* The use of Carl Perkins funds has been preauthorized for these courses. Questions? Contact Don Levine EED-CTE, don.levine@alaska.gov

Person Completing This Form

Please give us your contact information for correspondence regarding this registration.
This web form uses VeriSign SSL encryption to secure your information during transmission.

Required Fields are in Bold

Your Name
Your Job Title
School or District Name
Your Work Telephone
Your Email Address

Mentor Information

Every student registered for AVTEC Online courses needs to have an adult school employee who acts as the "site mentor" to assist the students and coordinate with the AVTEC course instructors as needed.  One site mentor per site is sufficient.

  Mentor 1 Mentor 2 Mentor 3 Mentor 4 Mentor 5
Mentor Name
Mentor School
Mentor Phone
Mentor Email

Student Information

If you are registering more than five students, contact AVTEC Admissions at 1-800-478-5389. You may also opt to fill out this registration page twice to accommodate more students.

** The ethnicity information is optional and confidential. This information is used to comply with federal reporting requirements and has no effect on your status for admission to AVTEC .

  Student 1 Student 2 Student 3 Student 4 Student 5
Name (F, MI, L)
Social Security Number
AVTEC Enrollment
 School
Home Address
Home City
Home ZIP
DOB (mm-dd-yyyy)
Gender
Email Address
** Ethnicity
Site Mentor's Name

Additional Information

Please indicate how you first learned about AVTEC 
If the answer of above is not in the list, please tell us where you first heard about AVTEC

Payment Information

Purchase order number, check number, or bank card information must be included in order to process online registration. Your registration is not final, and your spot in the class is not reserved until your registration is paid in full. You may also contact the Admissions Office via phone, to share payment information (1-800-478-5389).

Option 1 - Pay using a purchase order or check

Purchase Order # Check #   
Contact Telephone  #   
School/Organization      
Billing Address   City  
State   ZIP  
Grand Total      
 
Option 2 - Pay using a credit or debit card

Credit or Debit Card Card # 
Card Security Code (CSC) (what is a CSC?)  Expiration Date
Card Holder Name Telephone Number
 Card Billing Address   City
State   ZIP 
Grand Total    

Option 3 - Call in your payment information to AVTEC admissions staff at 1-800-478-5389.  You should still submit this form.

Training at AVTEC is provided without discrimination because of race, ethnic origin, sex, political affiliation, religious beliefs, or disability. By submitting this application, I agree that to the best of my knowledge the information contained in the training application is true and correct.

* Refunds minus a $25 application fee will be processed for students who cancel a minimum of 10 days before the start of class. No refunds are available after the 10 day deadline has passed.

I have read and understand the Connected Ed course refund policy above.