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Entrance Requirements
Application Process
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ONLINE APPLICATION

APPLICATION FOR ADMISSION
THE NATIONAL INSTITUTE OF REALTIME REPORTING ONLINE
I hereby apply for admission at The National Institute of Realtime Reporting, in accordance with the information given on this application form.

* denotes required information
PERSONAL INFORMATION:
First Name:*
Middle Initial:
Last Name:*
Sex:*   Male Female
Mailing Address:*
Date of Birth * (mm/dd/yyyy)
   
City/Town:*  
State/Province:*  
Zip/Postal Code:*  
Country:*  
E-mail:*  
Phone:*
Work/Cell Phone:
Country of Birth:*  
Country of Citizenship :*  
What is your first Language?*  
Are you a veteran of the United States Armed Forces? *
Yes No
EMPLOYER INFORMATION:
Employer Name:  
Mailing Address:  
   
City/Town:  
State/Province:  
Zip/Postal Code:  
Country:  
Phone:  
E-mail:  
Does your employer have a tuition reimbursement policy that you will be using?
Yes No
HIGH SCHOOL:
High School Attended:  
City:
State:
Dates of Attendance:
To
Year of Graduation:
or G.E.D (Date):
SCHOOL:
Have you ever attended School after High School graduation?
Yes No
School Attended:  
Dates of Attendance:
To
Degree Earned:  
 
School Attended:  
Dates of Attendance:
To
Degree Earned:  
 
School Attended:  
Dates of Attendance:
To
Degree Earned:  
 
Note: It is your responsibility to forward to the School an official copy of your secondary school transcript.
PROGRAM - Please indicate your anticipated program of study.
Programs
Certificate of Court Reporting: Legal and Conference Reporting
Certificate of CART and Caption Reporting
Certificate of Medical Transcription
Locations (Massachusetts)
Campus
Braintree
Burlington
Lakeville/Taunton
Springfield
Worcester
Online Program
Section:(For Campus Locations)
Day (Monday/Wednesday or Tuesday/Thursday 9-12 p.m.)
Evening (Monday/Wednesday or Tuesday/Thursday 6-9 p.m.)
Saturday (8 a.m.-2 p.m.)
Start Month: *
January February March April May June
July August September October November December
Do you intend to apply for financial assistance?
Yes No
If no, how do you plan on paying?
Credit Card Cheque

By submitting this form:

I agree to comply with all the rules and regulations of The National Institute of Realtime Reporting as printed in its materials, and to meet all financial obligations incurred by my attendance at The National Institute of Realtime Reporting.

I hereby certify that all the information stated on this application is complete and accurate.


Anti-discrimination clause

The National Institute of Realtime Reporting does not discriminate on the basis of race, sex, age, disability, national or ethnic origin, creed, sexual orientation, veteran status, marital status or religion in the recruitment, admission, access to, or treatment of students; the recruitment, hiring or treatment of faculty and staff; or the operation of its activities and programs, as specified by state and federal laws, including Titles IX of the 1972 Educational Amendments to the Higher Education Act, Executive Order 11246, as amended, and section 503/504 of the Rehabilitation Act of 1973. Any inquiries regarding this policy should be directed to the President, The National Institute of Realtime Reporting, 220 Forbes Road, Suite 302, Braintree, MA 02184.

OR
Fax to: (617) 698-1804 or mail to: 220 Forbes Road, Suite 302, Braintree, Massachusetts, 02184.

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