Course Application

Student Application Form

This application is for the Clark Long School of Real Estate. Once this form is submitted, you will be contacted to confirm course space availability.

Refund Policy:  A full refund of tuition will be given up to twenty-four (24) hours prior to start of class.  If a student is unable to attend class due to illness, death in the family or family emergency, the school will allow the student to reschedule another class at no additional charge.  If a student fails to pass the state and national exam within 6 months of satisfactory completion of the course provided by the Clark Long School of Real Estate, the student may take the course again at no additional charge provided there is space available.

Date of Course:
Title of Course:
Student Name:
Address :
Zip Code: (5 digits)
Daytime Phone:
Evening Phone:
Last 4 Digits of Social Security: