PDA Student Loan Application

Complete this form in its entirety to submit your application for financial aid.

"*" indicates required fields

Step 1 of 8

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

We you referred by someone?*

Yes

Who was your referrer?*

The name of your referrer is required. If your employee is sponsoring your tuition place their names in the referrer section. If you don't remember the person's name, put follow-up in the field.

Your Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

DL Number*

Verify Driver's License number is correct before submitting.

State*

Which state is your ID registered?

Will you be applying for financial aid?*

Yes

If you are applying for scholarships, tuition discounts, grants, etc select this field. If you are paying full tuition you may bypass this field.

SSN OR ITIN*

Must be filled regardless if you are applying for financial aid.

Which Campus are you enrolling for?*

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

Other

All students are required to attend orientation.

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, 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 don't have it at this time, you can submit to admissions.

Valid State ID*

Drop files here or

Accepted file types: jpg, png, pdf, 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 Eliteblackboard & Platinum Driving Academy should read these terms and conditions carefully prior to submitting an application. If you are admitted to Eliteblackboard & Platinum Driving Academy you will be bound by these terms for the duration of your Program. In addition to these terms and conditions, as a student at Eliteblackboard & Platinum Driving Academy, you will be bound by the rules and regulations governing Eliteblackboard & Platinum Driving Academy, as those may be amended from time to time. 2. Eliteblackboard & Platinum Driving Academy 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 Eliteblackboard & Platinum Driving Academy 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.

Name

This field is for validation purposes and should be left unchanged.

PDA Student Loan Application

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PDA Student Loan Application

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