Cannabis Program Registration

The School of Continuing Education is accepting registrations through this form for the courses associated with the Cannabis Retail, Rules and Regulations program.

Please identify if you are seeking to register or secure additional information.

For additional information, please contact the School of Continuing Education at askce@triton.edu or call (708) 456-0300, Ext. 3500.

* = required field

Semester You Intend to Enroll * Summer 2022

Purpose of this form * I am Inquiring/Requesting Information. I would like to Register.

Year You Intend to Enroll * 2022

Select Course You are Interested In * Cannabis Dispensary Technician

Schedule Availability - Select All That Apply * Mondays and Wednesdays Tuesdays and Thursdays Wednesdays and Saturdays Thursdays and Saturdays Fridays and Saturdays Saturdays Other

Other Availability

Birthdate *

First Name *

Middle Name or Initial

Last Name *

Email *

Contact Phone *

Alternate Phone

Address *

Apartment/Unit

City *

State * Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa 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

Zip Code *

Gender * Male Female Chose Not to Respond

Race * (Select All Which May Apply) American Indian/Alaskan Native Asian Black/African American Hispanic/Latinx Native Hawaiian/Pacific Islander White Unspecified/Do Not Wish to Disclose

Highest Education Level H.S. / G.E.D. Some College Associate Degree Bachelor Degree Master Degree Doctorate Degree

How did you hear about the program? * Visiting the Triton Website Flyers Email Promotion Social Media Word of Mouth Other

If Other, please indicate source of information

Are you currently taking or have you in the past taken any course(s)/class(es) at Triton College? * Yes No

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