Please fill out the application below.

LSI reserves the right to refuse any application. It is my understanding that I will be thoroughly investigated before I begin the course. I understand that without down payment/deposit or the appropriate government forms, my application will not be accepted. Upon review and approval of your application, you will receive an email confirmation.

Name

Address

Previous Address

Contact

General Information

• Gender- Male- Female

• U.S. Citizen?- Yes- No

• Education Completed?- High School- College

• Convicted Felon?- Yes- No

• Security Clearance?- Yes- No

Employer

Previous Employer

Courses

Name as you wish it to appear on your certificate:

I understand that this certificate is solely for the purpose of continuing education for locksmiths and other security professionals.

I agree to the Release and Limitations of Liability

I agree to the Refund Affidavit