Welcome to CPRF

School of Adaptive Computer Training
Short Application Form

Congratulations on taking the first step toward training for a new career. Filling out the Short Application Form below will bring you into contact with one of our SACT recruiters. Once you complete the form, you can submit it online by selecting the "Submit" option. If you would rather print a blank form and mail it, select the "Print a Blank Form" option at the bottom of the page. Please mail or fax your print copy to:

CPRF School of Adaptive Computer Training
5111 E. 21st St.
Wichita, KS 67208

* Required Fields

*Name
*Address
Address 2
*City
*State
*Zip
*Phone
Email Address (if you would like an email response)

*How did you hear about the SACT?

*Do you have a high school diploma or a GED?	Yes No

*Do you have a disability? (People with all disabilities are eligible to apply.)	Yes No

*Can you communicate effectively -- with or without adaptive equipment?	Yes No

*Will you accept full-time employment?	Yes No
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