State: | |
Where did you hear about us? | |
Planning to attend: | |
When do you want to start classes? | |
Can you commit to a 6-month program? | |
Do you need financial assistance? | |
In Case of Emergency:
Academic History:
Did you graduate? | |
If yes, diploma or GED*? | |
* A high school diploma or GED is not required to attend our programs. |
Did you attend college? | |
Did you graduate from college? | |
Work History:
Are you still employed? | |
Military History:
Personal Information:
Do you have any criminal convictions? | |
A prospective student is ineligible for state registration if he or she has been: a. convicted of or entered a plea of nolo contendere, was found guilty to or received deferred adjudication to crimes or offenses involving prostitution or sexual offenses. b. convicted of a violation of the Act within the past five years.
Do you have any history of dyslexia, learning disabilities, academic problems, or language barriers that may hamper your learning experience at the school? |
Learning concerns? | |
Please enter your email address here, |
The date/time of your online registration is: |
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