MC - Elite Blackboard

Platinum Driving Academy At Angleton MC

This registration form is for Matagorda County Employees only. Complete this form in its entirety to further your education with Elite U of Texas

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Step 1 of 7

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Which Campus are you enrolling for?*

Your Name*

First Last

As it appears on your Government-issued ID Misspelling of names could delay enrollment and or results from being submitted to the government, employees, etc upon completion of the course.

Your Email*

Enter Email Confirm Email

Ensure the email you are registering with is for the student, as this is how we will have all communications from the school sent out including enrollment for online courses.

Phone*

We need a valid number on file for all students.

Preferred Method of Contact

Phone

Employment Division*

What department do you presently work in?

Are you already approved for enrollment?*

Yes

Approving Supervisor or Administrator?*

The name of your supervisor is required. If your employer is sponsoring your tuition place the name of the person who approved your enrollment in this section.

Your Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

MM slash DD slash YYYY

DL Number*

Verify Driver’s License number is correct before submitting.

State*

Which state is your ID registered?

SSN OR ITIN*

Must be filled out if you are enrolling as a student.

Are you a US Citzen?*

Yes

Other

Ethnicity

Hispanic or Latino

Non-Hispanic or Latino

Ethnicity: The following race and ethnicity questions are requested to assist the University in complying with Federal guidelines (these questions are optional).

Race

American Indian or Alaska native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White or Caucasian

Other

Race: The following race and ethnicity questions are requested to assist the University in complying with Federal guidelines (these questions are optional).

Highest Degree Earned*

High School/Equivalent

Associate’s

Bachelor’s

Master’s or Higher

Other

Employment Status*

Employed

Self Employed

Retired

Unemployed

Other

Address above MUST match your address on photo license ID. Does the address you inputted above match your photo ID you will be submitting today?

YES

Address

Street Address Address Line 2 City State ZIP Code

Enter the address as it is on your Unexpired Drivers License or CDL. You will be required to upload ID later in the application.

Which course are you enrolling in?*

Select the main course you are enrolling in. All courses require a $100 enrollment fee that will be applied via tuition invoice. Enrollment fees are non-refundable.

Which Orientation would you like to attend?*

Virtual (Self-Paced)

Live via Zoom

On Campus

Other

All students are required to attend orientation.

Do you have your Permit?*

Yes

Not Applicable

If you have a CLP select yes otherwise select no or not applicable.

Have you had a CDL before?*

Yes Still Active

Yes But not Active

Other

Only select yes, if you’ve ever had a CDL before not Commercial Learner’s Permit.

Are you enrolling into a refresher course?*

Yes

CDL refresher course is for students whom already have had or has a CDL and need to refresh on skills.

Have you completed a DOT Drug screening within the past 7 days?*

Yes

Not Applicable

This will not affect your enrollment into the CDL course.

Do you have your DOT Medical Card?*

Yes

Not Applicable Gov’t Exemption

If you have not taken your DOT physical select no.

Have you had a DOT Medical Card in the past?*

Yes

Not Applicable

Which CDL Class are you wishing to obtain or presently have?*

Class A CDL (ex. Semi trucks)

Class B CDL (ex. Dump trucks)

CDL B to A upgrade

Select the type of CDL class training you are enrolling for.

Do you have any of the restrictions or endorsements on your CDL or Commercials Learners Permit?*

Air Breaks

P Passenger

S School Bus

L No Air Brakes CMV

E No Manual in CMV

N Tanker

T Doubles/Triples

X Hazmat & Tanker

H Hazmat

A Corrective Lenses

K Intrastate Only

O No tractor-trailer CMV (Combination)

Z No full Air Brake in CMV

Other

Select all that apply or none. Please answer this accurately to ensure your enrollment in the correct program.

Which class schedule are you requesting?*

Full -Time M-F 8 AM -4PM

Part-Time M-F

Part-Time Weekends

For which CDL class time are you applying for?*

This schedule is for all CDL students. We offer Day and Evening Courses so please select accordingly to get the most up to date schedule.

For which month are you wanting to start hands on training?*

Select the CDL endorsements courses you are enrolling for.

Passenger

Hazmat

School Bus

Select All That Apply, Once enrolled and tuition is paid for our endorsement courses there are no refunds. You have 30 days access to complete the endorsement training, from start date. You will receive a certificate of completion upon graduating from the course. Your test results will be submitted to the FMCSA’s Training Registry within 24 hours of completion.

ELDT Hazmat Endorsement*

Online Self-Paced Course

On Campus

The Hazardous Materials course is designed to cover the safety and compliance information needed to obtain an H endorsement. At the end of each unit, users will be given study questions to help retain the information that’s being learned. Upon completing all units, a final proficiency exam will be provided requiring a score of 80% or higher in order to successfully submit results to the Training Provider Registry. Once these results are successfully transmitted, the user will be permitted to take the required knowledge test for obtaining a Hazardous Materials Endorsement. This course may be taken online or on campus. This course is a continuing education course, so, therefore, does not qualify for any credits, and it is non-refundable and non-transferable.

ELDT Passenger Endorsement*

Online Self-Paced Course

On Campus

The Passengers Endorsement course is designed to cover the safety and compliance information needed to obtain a P endorsement. Upon completing all units, a final proficiency exam will be provided requiring a score of 80% or higher in order to successfully submit results to the Training Provider Registry. Once these results are successfully transmitted, the user will be permitted to take the required knowledge test for obtaining a Passenger Theory Endorsement. This course may be taken online or on campus. This course is a continuing education course, so, therefore, does not qualify for any credits, and it is non-refundable and non-transferable.

ELDT School Bus Endorsement*

Online Self-Paced Course

On Campus

The School Bus Endorsement course is designed to cover the safety and compliance information needed to obtain an S endorsement on your CDL. Upon completing all units, a final proficiency exam will be provided requiring a score of 80% or higher in order to successfully submit results to the Training Provider Registry. Once these results are successfully transmitted, the user will be permitted to take the required knowledge test for obtaining an S Endorsement. This course may be taken online or on campus. This course is a continuing education course, so, therefore, does not qualify for any credits, and it is non-refundable and non-transferable.

CDL Endorsements Bundle

Hazmat

Passenger

School Bus

Bundle your endorsements for 20 % off tuition costs. Select at min 2 endorsements. Discounts will be applied via invoice and are not reflected in total shown below.

Total

Tuition payments may be made online or via invoice. All applicable scholarships and discounts will be given upon completion of enrollment and sent via invoice to the email you have indicated via registration. You will not have access to the course until registration is completed and you have made payment or payment arrangements. ELDT courses are non refundable.

DOT Drug Screen

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.

Upload a front and back copy of your DOT Drug screen, If you are enrolled in any CDL/ELDT driving courses this is required. If you have not completed your screening as of today, you can submit it directly with admissions.

DOT Medical Card

Accepted file types: jpg, png, pdf, jpeg, heic, heif, Max. file size: 256 MB.

Upload a copy of your DOT medical card. If you are enrolled in any CDL/ELDT driving courses this is required. If you have an exemption on file or will be filing an exemption you may bypass this part.

Valid State ID

Drop files here or

Accepted file types: jpg, png, pdf, jpeg, heic, heif, Max. file size: 256 MB, Max. files: 2.

Upload a front and back copy of your State ID, Drivers License, CDL, or CLP (Commercials Learners Permit) If you are enrolled in ELDT or any CDL courses this is required.

Terms Of Service

Agreement*

I agree to the terms of service

1. Prospective students of Elite should read these terms and conditions carefully prior to submitting an application. If you are admitted to Elite you will be bound by these terms for the duration of your Program. In addition to these terms and conditions, as a student at Elite U, you will be bound by the rules and regulations governing Elite U, as those may be amended from time to time. 2. Elite reserves the right to amend these terms and conditions from time to time. By accepting these terms and conditions you acknowledge and agree to comply at all times with the then-current terms and conditions. 5. Admission: If you are admitted to Elite U you will receive a written offer letter with details and instructions on accepting the offer, paying the Program deposit and arriving on campus. 6. Tuition and fees payment: Following payment of the deposit, you must pay the remaining outstanding balance shown on the invoice by the following posted payment deadline of the Program and semester in which you will enroll 7. Refunds and Cancellations Policy: All sales are final. We do not offer refunds on merchandise, seminars, webinars, workshops, courses, etc. For a more detailed outlook of our policy visit. https://www.eliteblackboard.com/terms-of-service/ PRIVACY POLICY This privacy policy sets out how the information you provide is used when you submit your information through the use of this Web Site. The Company and its affiliates are committed to ensuring that your privacy is protected. Collection & Use of Information. The Company and its affiliates collect and store the information you enter in the application or lead form submitted for purposes of providing you with information concerning products and services offered by the Company, its affiliated companies, or other third party service providers. Company and its affiliates may use the information provided by you for internal review and strategy development. You may be contacted by a representative of Company, an affiliated company, or a third party service provider concerning products or services, using the information you have provided through use of this Web Site. Links to Other Websites. The Company Web Site may contain various links to allow you to visit other websites of interest. Please note that Company does not have any control over the linked website(s) and thus disclaims any and all responsibility for the protection of any information you provide while visiting such sites, as such sites are not governed by this privacy policy. Users are advised to review the privacy policies and terms and conditions of use on any site visited by user through any link located on the Company Website. Security. The Company and its affiliates maintain industry-standard security measures to protect against unauthorized dissemination of information collected from your application or lead form.

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Platinum Driving Academy At Angleton MC

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