Secure-TWC-Crosswind-Student-Admissions-Document

Student Admissions Document

CROSSWIND Exam Review, LLC

3333 Earhart Drive, Suite 300 Carrollton TX. 75006

Course Name: PMP®/CAPM® Exam Success Series: Exam Preparation Course

Student First/Last Name

First

Last

Please place mark the work industry/s that you are currently employed in. If you mark other, please type in the industry.

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Construction

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Consulting

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Defense

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Education

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Financial

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Government

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Hardware/Software Development

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Healthcare

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Pharmaceutical

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Manufacturing

Other

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Telecommunications

Please select each position/s that you have held in your career and enter the number of years that you have held each position/s. If you mark other, please type in the industry.

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Executive

Number of Years

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Senior Manager

Number of Years

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Management

Number of Years

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Director

Number of Years

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Human Resources

Number of Years

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Administrator

Number of Years

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Analyst

Number of Years

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Consultant

Number of Years

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Hardware/Software Developer

Number of Years

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Hardware/Software Programmer

Number of Years

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Technical Writer

Number of Years

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Educator

Number of Years

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Other

Number of Years

Student Admissions Signature Section

TERMS OF ACCEPTANCE and SIGNATURE

I, the applicant, warrant the truthfulness of the information provided in this Student Admissions Document.

Typed Name of Student (Please type your first and last name)

Student's Electronic Signature

Sign Here

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I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Date (mm/dd/yyyy)

Typed or printed name of Authorized School Official

Title of Authorized School Official

Electronic Signature of Authorized School - Official - In Blue Ink

Sign Here

Date