Legal Field and Medical Assisting Course Register
 Enroll Now at LAVC Los Angeles Valley College

Welcome to THORNHILL's Legal and Medical Field Course Registration
*Note: Best and Quicker when using PC
Please fill out all boxes as completely as you can.

*All fields marked with an * Asterisk are Mandatory.
Your request is important to us, if you don't fill in the required fields we won't know who to contact and will delay your registration.
Thank you for your cooperation.

*Course applying for:

*Please designate what School you will be attending, check one:

*Start date of course:

*Will you be paying in Full or Pay Plan?:

*Payment Method - How will you be paying, ie; check, m.o., employer, cash, credit card?

Note: For security purposes, we recommend you call us when making payment by credit card.

How did you hear of us?


*First Name:
*Last Name:
*Email:
*Address:
*City:
*State:
Zip:

*Phone Home:
*Example: 2323233223

Cell Ph:

Colleges attended; List colleges and dates attended, if any, and if Graduated: 

Certificates earned:  
*Note: If attaching a document please state 'document attached'

Work History: 
Note: If attaching a document please state 'document attached'

Present Employer: 

Present Employer Phone: 

Note: If attaching one or more documents please name and state 'document(s) attached'
Attach up to 4 documents or photos.

Comments:   

Document 1:
Document 2:
Document 3:
Document 4: