Exact Legal Name: Last / Family/Sur: First/ Given: Middle:
Permanent Address: Gender: Male Female
City: State: Zip: Country
E-mail:
Day Phone: Eve Phone: Cell Number:
U.S. Social Security #: Date of Birth (mm/ dd / yyyy):
Citizenship: U.S. Citizen Dual U.S. Citizen U.S. Permanent Resident
List any Non-U.S. Countries of Citizenship:
The above listed participant enters into an agreement with Marist College under which the school will instruct the participant in the training program course of study listed below. This is a fully online program and courses are non-credit.
Fees: Tuition is due prior to the first class.
SYSTEM Z Associate Certificate (3-course sequence) Tuition cost: $2700
Special Introductory Rate for IMS*
IMS Application Programming Certificate (3-course sequence Tuition cost: $2400
DB2 Application Programming Certificate (3-course sequence) Tuition cost: $2700
Assembler Application Programming Certificate (3-course sequence) Tuition cost: $2700
COBOL Application Programming Certificate (3-course sequence) Tuition cost: $2700
One Course Rate for z/VM*
Running Linux Systems in a z/VM Virtualized Environment (1-course) Tuition cost: $1200
Program Confirmation:
Director: Angelo Corridori
Director of Large System Education
For Completion By Marist College Only
Program ID: Enterprise Systems Education (Certificates
include a 3-course sequence, except z/VM which is one course)
Programs: Fall and Spring semester
For Course information: http://idcp.marist.edu
Contact us for scheduled dates, tuition, and enrollment
at: learnzos@marist.edu
Select Course:
SYSTEM Z Associate Certificate
ASSEMBLER Application Programming Certificate
BOOKS: In most cases, books will be available online in PDF format or in the form of handouts.
The COBOL Application Programming Certificate courses require a textbook.
COBOL Application Programming Certificate
DB2 Application Programming Certificate
IMS Application Programming Certificate
Running Linux Systems in a z/VM Virtualized Environment
ACKNOWLEDGMENTS
I agree to the conditions of this agreement. I also verify that I have read and received a copy of this agreement. This agreement shall be effective when signed by both the participant and the school’s representative.
I Accept I Do Not Accept Student:
 Date
Accepted by Institute for Data Center Professionals (IDCP) at Marist College: _______________________ Date
Fax To: The Institute for Data Center Professionals (IDCP)
Marist College
Instructions: After completing pages 1-2, please fax or e-mail your application.
3399 North Road
Poughkeepsie, New York 12601
Fax 845 575-3605 or Telephone 845 575-3588
Attention: Director of IDCP
Email application or questions to: learnzos@marist.edu
Additional Information is requested to complete your registration and application. Items with an * are required, the others are optional. All information provided will be considered confidential and will be used for the purpose of assessing admittance to the program.
NAME:
*Marist College Affiliation: None Alumni Have /or had a Marist online account Student
*Highest Educational Level Achieved:
Degree Completed (choose one): Other
Some Undergraduate work and number of credits completed:
*Degree Majors (list all, associated degree, school where degree was obtained):
*Computer/Work Programming Experience:
List programming language proficiency:
List operating systems familiarity:
Current Employer:
Current Job Title: Number of years Experience in IT:
Summary of Job Responsibilities:
How did you hear about us (choose one)?
Other (please specify)
OPTIONAL INFORMATION: Answering or declining to answer any of these questions will in no way affect consideration of your application for admission; however, it would be helpful to Marist for research purposes. Marist College does not discriminate in the admission process on the basis of race, color, sex, religion, disability, age, national origin, sexual orientation, marital, or veteran status.
How would you describe yourself? (Check one)
1. Are you Hispanic/Latino? Yes No
2. Regardless of your answer to the prior question, please select one or more of the following ethnicities that best describes you:
American Indian or Alaska Native (including all Original Peoples of the Americas) Are you enrolled? Yes No
If yes, please enter Tribal Enrollment Number:
Asian Black or African American Native Hawaiian or other Pacific Islander White (including Middle Eastern)
ADMISSION: IDCP is committed to enrolling participants who show the ability and desire to successfully complete the course and program. You are responsible for assuring that you have met any prerequisites needed for the training.
PARTICIPATION: Lack of participation can adversely affect a participant’s academic performance and their success in passing the courses. Participants are expected to actively participate in the courses and devote time to completing the course activities. Lack of participation does not release a participant from tuition payment obligations.
NOTICES: Certificates or final course grades will not be issued by the IDCP until all monetary obligations have been met.
Thank you!
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