Walters State Community College - Student Submission

All MedCerts’ programs are available to Walters State Community College. These programs include courses, national exam voucher, and physical or electronic books. You will need to indicate on the form if your students will require a loaner laptop.

In order to process your enrollment into MedCerts programs you will be required to complete the intake form on behalf of the student.

Once the electronic form is submitted MedCerts will process the student enrollment within 24 to 48 hours during business hours. The student will be shipped any physical materials within 3 to 5 business days. You will receive e-mail confirmation when the enrollment has been processed.

Walters State Community College administrators will also receive monthly progress reports regarding how each of your students is progressing through the training.

Student first name

Student last name

Student/Shipping street address

City

State

Zip Code

Student email

Student phone number

Does the student require a loaner laptop?

YesNo

PO Number

What program are they enrolling in?

Preferred Start Date

Administrator Full Name

Administrator Email

Administrator Phone