Apply | Majestic Technical Institute

PLEASE MAKE SURE YOU SUBMIT A FORM OF PAYMENT AFTER SUBMITTING!!!!!! Forms of payment is at the bottom of page!!

Name *

Date of Birth *

Last 6 Digits of Social *

Gender *

Male
Female

Mailing Address *

Phone Number *

Email address *

Branch Location *

Byram, MS
Ackerman, MS

Program (Please check) *

Certified Phlebotomy Technician
Certified Clinical Medical Assistant
Certified Pharmacy Technician

Program Start Date *

Form of Payment ($100 NONREFUNABLE REGISTRATION FEE) *

Cash App
Venmo

Proof of Financial Status *

Forms

If for any reason you are having trouble submitting forms you can click on forms and print them and send them back via email to majestictech2021@gmail.com

PLEASE MAKE SURE YOU SUBMIT A FORM OF PAYMENT AFTER SUBMITTING!!!!!!

Cash App

Venmo

Policies

Hey There, It's National Cheese Day!

National Cheese Day: A Celebration of All Things Cheesy