Maritime Professional Training - Masters, Mates, & Engineers, Inc.
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Maritime Professional Training in Fort Lauderdale, Florida
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 Register


Thank you for choosing MPT for your training and certification.

To register, please review and complete the online enrollment form below.

If you have not had a chance to have a complimentary Career Counseling Session, please give the Student Services Office a call to set up a time that is good for you!

 When we receive your enrollment package, we will send you
  • Your MPT Invoice with payment Information
  • Class Confirmation & Joining Instructions with Class Materials List
  • Signature & Passport Form (please return either before class or on day one)

Bold fields are required (where applicable)
 Registration Form & Student ID Card Application
Student's First Name:
Students Middle Name:
Student's Last Name:
Nickname:
 Mailing Address:
Temporary? no yes, see permanent address corporate address, see permanent address

Street Address:
Address (cont.):

City:

State (if USA):

Country:
Zip/Postal Code/APO:
 Permanent Address:

Street Address:
Address (cont.):

City:

State (if USA)/ Province:

Country:
Zip/Postal Code/APO:

Phone #1:

Phone #2:

E-mail:
 Other Information:

Where did you hear about us:

->   Describe:

Nationality:

Passport #

Country of Birth:

SSN: (Americans only)

National ID #
(if no Passport):

ID Type:  

Company or Vessel Name:
 Signature & Photo Card System

Please note: when you arrive at MPT you will need to provide us with your passport. If you do not have a passport, you will need to supply another form of national ID. Click on image on the right to see a sample Signature & Photo Card System form.
Click to Enlarge

 Payment Information:

 Payment Method or Financial Aid: Check any that apply
MPT Student Pay
Corporate Sponsor (paying now)
Corporate Sponsor (bill to account - see Corporate Concierge)
VA (see Financial Air Coordinator)
Salle Mae (see Financial Air Coordinator)
Other (see Financial Air Coordinator)

 Registration Authorized By: (When applicable for corporate or sponsored students)

Name:

Contact #:  

 Payment Arrangements:
Check
Cash
Corporate Billing PO #:

(PO#’s must be pre-authorized
by Corp Concierge)
Credit Card (fill in below)
Credit Card:
Card Number:
Expiry Date:
CVV / VCode:

What's this?
Credit Card charge authorized for:
Payment in full
Deposit on account $

(20% of total is non refundable)
3rd Party Authorization Form Attached:

Attach file in Word or PDF file format.
Credit Card Billing Address:

Street Address:
Address (cont.):

City:

State (if USA):

Country:
Zip/Postal Code/APO:
 Maritime Administration being satisfied by training: Check any that apply
USCG
MCA
BMA
Other* Describe Other:  
 

*Note: We cannot guarantee acceptance outside of our approvals.
 Course Selection

Course #

Click "Select Course" button
to Select a Course Title

Select the Start Date

< Course Combo #

 Training & Certification History

Would you like to receive a complimentary Career Counseling Session?
Yes No

Certification/License Level desired at this time:

Five Year Goal - level working towards:
 CoC/License/MMD Held:     -     Country of Issue     -     Approx Years Held:
 Courses you have completed at any school towards your qualification:
 Applying for: USCG (Or Non MCA) Sea time:
 (attach resume if possible - see bottom of the form)
1) How many days total #,  # inland, # offshore
2) How many days on auxiliary sail vessels (if any)
3) How many in last three years (recency)
4) How many while holding a license (if applicable)
5) Capacity served in while licensed
6) Deck Officer Students: Tonnage breakdowns
  a. Under 5 tons
  b. Under 34 tons
  c. Under 50 tons
  d. Over 50 tons
  e. Over 100 tons
  f. Over 200 tons
  g. Over 1600/3000
7) Engineer Officer Students: Horsepower breakdowns
  a. Use HP Calculation in CRM: hp limit expected (if applicable)
  b. Mode(s) Propulsion/# days Motor  Gas Turbine Steam
 Applying for MCA Yacht CoC: Service & Sea Time
 (attach resume if possible - see bottom of the form)
1) How many days total yacht or sea service
2) How many days total yacht or sea time (actual)
3) How many days while holding a CoC (if applicable)
4) Capacity served in while certificated
5) Deck Officer Students: Breakdowns
 

a. Under 15 meters              Over 15 meters

6) Engineer Officer Students: Breakdowns
 

a. How many days total

  b. How many while holding a CoC (if applicable)
  c. Mode(s) Propulsion/# days Motor  Gas Turbine Steam
 

Use the CRM or ask your career counselor to help determine the best license to apply for based on your experience, and career goals. MPT recommends applying to the USCG or MCA as soon as possible when required.
 

 Student Enrollment Agreement

MPT operates according to the ISO 9001 Quality Standard and is a DNV certified Maritime Training Center. Your education and total satisfaction are very important to our staff and faculty. MPT has published a Career Reference Manual & Course Catalog that provides extensive information about career paths, license & certification requirements, and the courses we offer that fulfill those needs. Please request a copy and speak with our Student Services Representatives if you have any questions regarding career counseling, required courses, assessments, tuition costs, course schedules, Coast Guard application paperwork, class materials, MPT policies, or enrollment opportunities.

I acknowledge, understand, and accept that:

  1. Enrollment fees include registration, student workbook or textbook, and classroom sessions; however certain required reference materials or equipment to complete a training course may need to be purchased separately. Certain courses require separate examination and/or laboratory fees. If my company/organization has sponsored me for training and does not pay within 60 days after my course starts, I will be responsible for payment in full.

  2. I am expected to attend all classes in a sober and professional manner. I understand that if I am verbally or physically abusive, display repetitive interruptive behavior, or do not follow the instructions of assessors, examiners, and/or instructors; I can be required to withdraw from this program without refund of any fees.

  3. MPT has a Student Handbook available upon request that contains student policies and the Student Code of Conduct that I am expected to follow and adhere to while a student at MPT.

  4. I have enrolled in a training course that requires attendance at every session, completion of all assignments, and passing of final assessments taken at the school, before I am eligible for a certificate of completion.

  5. In addition to obtaining an MPT training course completion certificate, additional Coast Guard application forms, evaluation, fees, background checks, drug tests, physicals, and final approval, will be required to obtain a Coast Guard License or endorsement. For certain licenses 500 tons and above and endorsements, Coast Guard review of practical assessments and administered examinations will be required prior to the issuance of a license or certificate of competency. USCG licenses have citizenship and residency requirements.

  6. Completion of a course or program does not guarantee issuance of or level of any license or certificate of competency from any maritime administration.

  7. If I withdraw from the course before completing all class sessions, required assessments, and/or final assessment, there may be additional fees to retake the course at a later date as per the Student Handbook up to the full cost of the course. I also understand that if the textbooks and/or course materials have changed, I will be responsible for the cost of the new textbook, workbook and/or training course materials.

  8. MPT may take photographs or video footage of class for training and/or media use without additional notice.

  9. I understand that there are no refunds expressed or implied for any reason, and that course fees are not transferable. A copy of the Payment, Refund & Cancellation policy is available from Student Services.

  10. I understand that MPT is not responsible for ancillary costs such as hotel expenses, flight changes, etc., related to class date changes or cancellations due to inclement weather or any other reason.

  11. I should seek out an MPT Career Counselor or Manager of Student Services if I have any concerns or problems. If I feel my problem is not satisfactorily resolved, I can request a meeting with the Academic Principal.

  12. Release & Indemnity: I agree by signing below to assume all risks and damages which I may sustain from any cause after beginning any MPT/MTI course or other demonstration. I do hereby release said companies, their affiliates, any and all owners, lessees, instructors, operators of any equipment, and employees from all injuries, damages, or death that I may sustain whether or not caused by the negligence or default of any of the aforementioned persons and / or companies. Any resulting legal expenses for both parties will be borne by the student and will take place in the jurisdiction of Broward County in the State of Florida.

I have read, understand, acknowledge, accept, and agree to the information herein presented on this enrollment agreement and the MPT Payment and Cancellation Policies, and can request a copy for my records.

   Check here to request a copy.    
Student Signature:   Date:   03/10/2010

Upload Resume:

Attach resume in Word or PDF file format.

 Your Input:

Questions/Comments:
 

What happens after I register?

After the MPT Admissions Representative calls you to confirm your registration, they will send you joining instructions, a class materials list and general course requirements.

If you would like to receive your textbook(s) in advance, please request that at the time you make your payment for the course.

As part of our commitment to excellent customer service, we will contact you twice before you arrive:

To confirm you are available: We will call you 2 weeks prior to the start of each course to arrange payment in full and confirm that your schedule has not changed.

To remind you: We know your schedules are hectic, so as a courtesy, we call you the week before as a reminder & to see if you have any questions before you arrive.

When do I need to pay and confirm for my course?

Registration confirmation can be made with a deposit. Payment in full for class(es) is required at least 14 days prior to the start of the class to maintain your confirmation. If we cannot contact you and we have not received payment or arrangements within the 2 weeks prior to the start of the course, you may lose your reservation if the class is full. We apologize, but our class sizes are limited.

Payment, Rescheduling & Cancellation Policies

Payment Policy:

To place a reservation there is a minimum required deposit of 20% of the course fee or $50. whichever is higher . This is a non refundable deposit. Payment in full is requested 2 weeks in advance of the course to confirm your reservation.

Rescheduling Policy:

You are purchasing a seat in a class with limited space available that fills very quickly. For this reason, we appreciate rescheduling as early as possible when needed, so individuals on "standby" have an opportunity to take the class.

If you need to reschedule for any reason MORE than 14 days prior to the start of the class, 100% of the course fees may be applied to an alternative date for the same class. Future changes will result in an administrative fee equal to 10% of the course fee.

If you need to reschedule for any reason LESS than 14 days prior to the start of the class, 90% of the course fees may be applied to an alternative date. However, if you reschedule for any reason on the first day of the class you will forfeit 100% of the course fees.

Note: If you have received books that become obsolete due to your rescheduling the class to a later date, you will be responsible for purchasing the newer editions of the books when you come to class.

Cancellation Policy:

If you are rescheduling your class, please see the rescheduling policies listed above.

If you need to cancel for any reason MORE than 14 days prior to the start of the class, 80% of the course fees may be refunded, 20% of the course fees are non refundable and non transferable.

If you need to cancel for any reason LESS than 14 days prior to the start of the class, 50% of the course fees may be refunded, 50% are non refundable and non transferable.

If you need to cancel for any reason on the FIRST DAY of the start of the class, 0% of the course fees may be refunded, 100% of the course fees are non refundable and non transferable.

Please note that if you had received books and or class materials that are included with a course, they will be deducted from your refund and cannot be returned for credit.

School Cancellation Policy:

It is very rare for MPT to have to reschedule or cancel a class. If for any reason MPT cancels or reschedules a course before it begins, MPT agrees to reapply or refund 100% of your course fees. MPT cannot be responsible or liable for any other fees, such as but not limited to travel, hotels, loss of work, etc. which are outside of our control. No refunds will be given outside of the fiscal year the original payment was made, no exceptions.