CBIT Course Registration Form

1
Full Name* This field is required.
First Name
Middle Name
Last Name
2
Cell Phone Number* This field is required.
Area Code
Phone Number
3
Work Phone Number* This field is required.
Area Code
Phone Number
4
Email* This field is required.
example@example.com
5
Company* This field is required.
6
Employee ID (if applicable)
Please Select
Please Select
7
Employee IDKindly provide if you have one.
8
Course Title* This field is required.
9
Course Start Date* This field is required.
Date
Month
Day
Year
10
Thank you for your interest in taking a course at The Center for Business/Industry Training at Brazosport College. You will be contacted shortly by our registration personnel to verify your registration request, give you a price for the selected training and obtain the information pertaining to your method of payment.

Once payment is received, you will be confirmed in the training course.

Contact CBIT: 979-230-3050
cbitonline@brazosport.edu

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