Phone This application is for admission to a program of study at an International Development Institute. Upon submitting this form, you will be contacted by the school representative to answer any questions you may have and continue the application process. Program of Interest * Select one of the following Air Pollution Control Certification (APCC) Basic Electricity (BE) Basic Plumbing (BP) Boiler Operator (BO) Building Maintenance Code (BMC) Building Maintenance Technician -Spanish (BMTS) Building Maintenance Technician (BMT) Building Operation Maintenance & Recordkeeping (BOMTR) Building Maintenance Technician -Russian (BMTR) Child Care Specialist (CCS) Cosmetology (CO) Computer Fundamental (CF) Computerized Accounting (CA) Customer Services Representative (CSR) Copy Machine Repair Technician (CMRT) Copy Machine Repair Technician -Russian (CMRTR) Copy Machine Repair Technician -Spanish (CMRTS) Electrocardiograph Technician (EKG) English – Level 1 (ESL1) English – Level 2 (ESL2) English – Level 3 (ESL3) English – Level 4 (ESL4) English – Level 5 (ESL5) English – Level 6 (ESL6) EPA Technician Certifications Program (ESP-TCP) Fire Safety Director (FSD) High School Equivalency Diploma (GED) High School Equivalency Preparation Program (HSE) Home Health Aide -Spanish (HHAS) Home Health Aide (HHA) Home Health Aide – American Sign Language (ASL) Home Health Aide -Russian (HHAR) Introduction to Property Management (IPM) Keyboarding (K-60) Microsoft Power Point (MSPP) Medical Biller (MB) Microsoft Word (MSW) Medical Insurance Biller (MIB) Microsoft Excel (MSE) Medical Assistant (MA) Medical Office Administration (MOA) Medical Coding & Billing Specialist (MCBS) Notary Public (NT) Nursing Assistant / Nurse Aide (NA) Office Assistant (OA) Property Management & Management Risk (PMMR) Personal Care Aide (PCA) Patient Care Technician (PCT) Phlebotomy Technician (PT) Personal Care Aide Upgrade to Home Health Aide (PCApgr) Real Estate Broker (REB) Real Estate Salesperson (RES) Refrigeration and Air Conditioning Technician (RACT) Refrigeration and Air Conditioning Technician -Spanish (RACTS) Security Guard Supervisor (SGS) Sprinkler & Standpipe Systems Maintenance (SSM) 8-Hour Pre-Assignment Training Course for Security Guard (8HRSGPA) Refrigeration and Air Conditioning Technician -Russian (RACTR) 8-Hour In Services Training Course for Security Guard (8HRSIS) 8-Hour Annual Firearms Training Course for Security Guard (8HRSAF) 16-Hour On the Job Training Course for Security Guard (16HRSSO) 47-Hours Firearms Training course for Armed Security Guards (47HRSSG) Section * Select section Morning Afternoon Evening Weekend First Name * Middle Name Last Name * Phone Number * Email Address * Appointment Date Address City State (Only for US) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana IAIowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Country * Select your country Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe U.S. Legal Status * Select One of the following Citizen Permanent Resident Temporary Resident Student Visa International Student Refugee Other Degree of Education completed * Select One of the following High School Graduate GED 12th Grade 11th Grade 10th Grade 9th Grade 8th Grade 7th Grade 6th Grade Associate Degree Bachelor Degree Master Degree Other Are you a US veteran Yes No How did you hear about IDI ? * Select One of the following Arif Uzzaman Community Agency Community Event Facebook Flyer Friend Government Agency Halen Florian Instagram Internet LinkedIn Maritza Polanko Marisol Fernandez Newspaper Radio School Representative Student YouTube TV Twitter Wendy Coello WhatsApp Please write the name Upload the following documents if applicable: High School Diploma or GED Copy of Associate’s, Bachelor’s, Master’s, Diploma from a regionally accredited college, university Copy of Driver’s License, Social Security card, Passport, resident card, work permit, or student Visa. Students who have completed high school in another country must present a copy of their diploma in the student’s native language and translated into English. Note: This Pre-Registration application is intended to solely provide you with information on your program of interest and its not an official registration. * Required