CRY-ROP
1214 Indiana Court
Redlands, CA 92374
(909) 793-3115 ext. 500
Adult Program Interest/Pre-Registration Form
Please select the program(s) you are interested in:
Construction and Facilities Maintenance
Nurse Assistant - Certified Program Day
Nurse Assistant - Certified Program Evening
Vehicle Maintenance Technician
Nurse Assistant-Acute Care
Are you interested in:
More information
Ready to register
Information on payment plan
Information on funding assistance
How will the program be funded?
...
American Job Centers of CA
Cash
Department of Rehab
Equus
Other
Payment Plan
Scholarship
Transitional Assistant Department
What is your age group?
...
25 or Older
Under 16
16 to 24
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Please submit your information if you wish to be contacted when information becomes available for the program(s) selected above.
First Name
Middle Name
Last Name
City
County
Cell Phone
Email
Are you currently attending high school?
Yes
No
Not Selected
if yes name of high school
Name of High School
How did you hear about ROP?
...
Advertisement
Brochure
Career Center
Colton Adult School
Counselor
Employer
Friend/Relative
Instructor
Previously Enrolled
Redlands Adult School
School Mailing
Website
Other
Yucaipa Adult School
Do you need accommodations?
Yes
No
Not Selected
If yes, what accommodations are needed?
Please keep me updated on new programs and resources
Yes
No
Not Selected