Sheridan Technical College (Main) Sheridan Technical College (West)
5400 Sheridan Street 20251 Stirling Road
Hollywood, FL 33021 Pembroke Pines, FL 33332
Tel: 754.321.5400 Tel: 754.321.3900
STUDENT NAME: _________________________________________________________________________
Last First
STUDENT #: ____________________ PROGRAM: ______________________________________________
COUNSELOR ADMISSIONS INTERVIEW- CVD
________ I attended orientation and was provided a Student Catalog (click) which outlines school policies/procedures.
________ I understand if I choose to drop this course, I must appear in person within the first 5 days of the term and will
be entitled to a full refund with the exception of the registration and Health Science fees.
________ I understand program requirements, schedule, total approximate cost and available payment options.
________ I do or do not have prior work or education experience that I wish to count towards the above listed program. If
valid, Experiential Credit form must be completed and provided to Financial Aid.
________ I understand notice of program acceptance can be in the form of mail, email, call and/or hand delivery. It is my
responsibility to ensure Sheridan Technical College has updated contact information.
________ I understand course availability is on a first come first served basis; and the registration process is complete once
payment is received.
________ I understand school supplies such as books, uniforms, kits, and all other required supplies must be purchased
prior to the first day of class.
________ I understand that in order to participate in the Commercial Vehicle Driving (CVD) Program, I must successfully
pass the pre-employment drug screening test and complete the Department of Transportation physical exam.
________ I understand mandatory random drug testing is part of this industry and this program. Therefore, if my
drug/alcohol test is positive or I refuse to submit to testing, I will be recommended for immediate withdrawal
and fees paid for the drug screening test, tuition, books/supplies, etc. are nonrefundable.
________ I understand that in the event of an accident in which (1) I have been cited, (2) anyone is transported for medical
care, (3) the accident results in a fatality and/or (4) one or more of the vehicles require towing, I shall be subject
to post accident drug and alcohol testing and I must report to the nearest drug testing location immediately.
________ I understand most employment for new drivers will be as over-the-road drivers. South Florida residents may
expect to spend time away from home for the first year to year and a half before more local driving jobs become
available.
________ I understand that past history of felony convictions, while not required to be reported to Sheridan Technical
College, may impact my ability to secure employment in the Commercial Driving industry.
________ I have received instructions on how to access my Focus student account (grades, attendance, etc.).
________ I understand a valid social security number must be provided on my Workforce Education application in
order to receive a 1098-T Tuition Statement for tax purposes.
I certify that all information on this interview sheet is true and complete to the best of my knowledge. I understand
that false or willful misrepresentation of facts: false records, tests, conferences, health reports, etc., may be grounds
for withdrawal from the program. I accept full responsibility for any misrepresentation.
__________________________________________________________________________________________________________
Student Signature Date
STC/ME/6-11-20
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signature
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