NJBIA 6 Registration

All fields marked with an asterisk * are required.

Your Information:

Are you the owner of this business:

  1. Yes, I understand that I am only eligible to take classes if I pay taxes into the Unemployment Insurance fund
Organization Information:

Please provide the following information for the person in your organization authorizing you to take the following course.

The above person understands that my failure to show for a class will result in our company/organization being billed for related expenses. *

Please select which course you would like to attend below:*

Optional Information:
  1. Male Female

The following statement is in accordance with the Higher Education Act. Please read carefully click the check box to indicate that you agree and have read the statements below.

I grant permission to the Community College Consortium for Workforce & Economic Development & Member Colleges to share information including the transfer of grades, credits, and other academic records, where applicable, among other organizations and/or agencies/businesses that provide funding for this training.*
I understand that I am required to be paid during the scheduled time I am in the training class.*
I understand class sizes are limited and class registrations will be on a first come first served basis.*
I understand that I will be required to take a pre self-assessment (for computer classes) or a pre and post test (Test of Adult Basic Education) for all other classes as a requirement for this grant.*
I understand that prior to receiving my final confirmation; AtlanticCape will submit our company name and FEIN number to the New Jersey Treasury department. The New Jersey Treasury Department will check to that the company is up-to-date with taxes. *