Application for Continuing Education

Application for Continuing Education - EPA Certification

Tell us about yourself

Are you a current Ranken student?

YesNo

Are you attending this session on a company sponsorship?

YesNo

First Name

Last Name

Social Security Number

Age

Birth Date

Example: 05/21/1991

Gender

Ethnicity

Use Ctrl + click to select multiple responses.

Contact Information

Home/Main Phone

May the Ranken Admissions team text you at this number?

YesNoBy answering “Yes”, you agree to receive text messages from Ranken Technical College regarding your enrollment or other College related information. You can opt-out anytime. Message & data rates may apply. View Mobile Terms and Privacy Policy.

Work Phone

Street Address

City

State

Ex: MO for Missouri

Zip Code

Company Address

Company Name

Street Address

City

State

Ex: MO for Missouri

Zip Code

Course Information

Cost: $100 for Current Students / $150 for Non-Students *Cost is non-refundable.
Date: See date options below
Time: 6pm - 10pm CST
Location: Room G108/G109

Students must attend both nights. This is a two-evening class.
Books must be picked up in the Admissions Office prior to class.

*Classes subject to change or cancellation due to minimum/maximum capacity requirements.

Which session are you signing up for?

December 19 & 20, 2024 - 6pm-9:30pm CSTMay 1 & 2, 2025 - 6pm-9:30pm CSTAugust 20 & 21, 2025 - 6pm-9:30pm CST

By clicking "Submit" below, I am verifying that I am expressing my intent to participate in the EPA Certification Program at Ranken Technical College. I am confirming that the above information is complete and accurate to the best of my knowledge.

Contact Information