Online Enrollment Form - Stratford Career Institute

Congratulations on making the decision to enroll in Stratford's High School Program.

Items marked with a ** are required fields.

Step 1: Personal Information

Enrollment Information

Select your course:
**

First Name:
**

Last Name:
**

Telephone Number:

Email Address:
**

Birthdate:
**
(mm/dd/yyyy)

If you are under 18, you need permission from a parent or guardian.

Mailing Address

Address 1:
**

Address 2 (Apt, Unit, Suite, etc..):

City:
**

State/Province:
**

Country:
**

Zip/Postal Code:
**

Digital Study Options

(please choose one):

The first module of your selected course is available online.

	YES! I would like faster access to my program materials by using digital textbooks and study guides in the online student center when available. I understand that if a module is not available digitally that it will be shipped to me via postal mail.

	NO. I prefer to receive my books in the mail. I understand that I may not be able to access any digital textbooks or study guides, but that I can still take my exams online if I choose..

Promotional Codes / Advertisement ID#

If you have a Stratford Promo Code and/or Advertisement ID, enter it here.

Promo Code:

Advertisement ID#:

By clicking the Next button, I understand that I am giving consent for Stratford Career Institute to contact me about educational programs and services via the e-mail address and phone number I provided. I understand that I am not required to provide this consent to enroll in a Stratford Career Institute program and that I can contact Stratford directly at 1-800-254-4070.

Already have a Priority Code that you received in the mail? Enroll faster by clicking here.

Online Enrollment

Step 1: Personal Information

Enrollment Information

Select your course:**

First Name:**

Last Name:**