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Statement of non-discrimination: InterCoast does not discriminate on the basis of sex, age, handicap, race, natural origin, sexual orientation, political affiliation, creed or religion in its admission to or treatment in its programs and activities, including advertising, training, placement assistance, and employment. The institution follows all policies pertaining to admission of students with special needs such as physical or mental handicaps or learning. Any special accommodation requests, if applicable, must be made in writing. The Campus President is responsible for accepting students and determining whether applicants, including those with special needs, can benefit from the training.

I certify that all the information contained in this application, and in all of the supplemental materials which I shall submit, is accurate and true. I further understand that any submitted records and documents are not returnable. I understand that I may be required to provide supporting documentation of the information reported herein. In connection with my application for tuition assistance, I understand that a consumer report, including financial, credit, criminal, and/or other information. I authorize, without reservation, a credit report to be obtained on my behalf, and authorize the institution or loan servicer to have access to such information to determine eligibility for tuition assistance. I understand the questions contained in this application will be used solely for statistical reporting, admissions, and/or financial consideration. By signing this document electronically, I certify that the information is provided by me and I certify that my electronic signature used on this document is a legally binding equivalent to my handwritten signature.

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