Application Form

- Our Training Steps class will be open until Thanksgiving -  
We are now accepting enrollments for December 1st and the 15th.

To receive our brochure by email, please enter this address in your email contacts:  terry@medworkshops.com

 

First Name:
Middle Initial:
Last Name:
 

 

Street Address:
City:
State:
Zip:

 

Phone (Home):
Cell:
Email Address:
 
Date of Birth:
 
  

 

Typing Speed:
(Estimate)

Date of Graduation from High School
Or GED.  Required 
I was referred by this Medical Transcription Company:
Pay Plan comment:
   

Why do you want to be a transcriptionist?:
   
The following applies to me:
  I'm currently working full time
 I'm a Mom at home
 I want to transcribe full time
 I want to transcribe part time
 I want job placement

 

Payment type:
    
Payment Plan: