Student Inquiry

Thank you for your interest in Intellitrain, Inc. and our Edcational Programs.

To sign up for one of our programs, please fill out this initial survey form and click the submit button. A copy of your information will be sent to one of our campuses, and one of our personnel will contact you to discuss your information.

All fields are required unless noted as optional.

Your Full Name
Your Street Address

City, State
Zip Code
Your Email Address
Telephone contact information:
Home Phone Number
Work Phone Number
Cell Phone Number
Best Time of Day to contact you:	at this number:
Date of Birth	Month: Day: Year:
City of Birth
Gender	M F
Ethnicity:	(optional)
Previous Education Level:	Name of last school you attended:
Are you currently employed?	Yes: Current Occupation: Current Employer: Years working there: No: Most Recent Occupation: Most Recent Employer: Years working there:
Class/Program Preferences:
Preferred Class Time:
Preferred Start Date:
Preferred Campus Location:
Online Assessment:
Paralegal is a profession that requires a fundamental knowledge of English and grammer, and mathematical skills. Intellitrain requires each paralegal student to be qualified before enrollment. There is an online assessment to determine your qualifications for attending the paralegal classes. Instructions to take this assessment can be Emailed to you by selecting the appropriate choice below:
	Yes, Email me instructions Not at this time