Enrollment Form

This program is for people who are working with their state's Business Enterprise program (BEP) and who are sponsored by their department of rehabilitation services for training to become Randolph-Sheppard vendors. Current blind vendors who are seeking retraining can enroll in these courses provided that they are sponsored by their local department of rehabilitation services. On this form, you will need to provide the contact information for your Vocational Rehabilitation Counselor, who will need to send your tuition payment to The National Association of Blind Merchants in advance of your enrollment to the program. Once the enrollment form is complete, Hadley's Support Services Department will assist you in sending a copy of a government-issued ID to verify your identity. Please call 1-800-323-4238 with any questions.

Page 1 of 3

Please enter all the information regarding this propective student.

** Indicates a required field for all students