Application

To apply for admission online, fill in the following secure form, choose a payment method for the $50 application fee, and click Submit.

First Name
Last Name
Address
City
State		OH AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip
Daytime Phone
Evening Phone
Email
Date of Birth
Social Security Number
High School Graduation Year		Select a Year 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 and before GED
High School Attended
High School City
High School State		-- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Previous Colleges Attended
Program of Interest		Not Sure Accounting Administrative Assistant Computer Programming Computer Specialist Culinary Arts Graphic Design Legal Administration Medical Assistant Network Management Paralegal Travel-Hospitality Veterinary Technician
		Degree Diploma
Housing		Please Select Live in dorm Commute to school
There is an application fee of $50 that is payable by credit card or by check. If you elect to pay by check, please print the form on the next page and mail it to us along with your check.
Payment Method		Check Credit Card