Admissions Application Request

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is Required

is Required

Address & Phone Number
Street 1
Street 2
City
State
Zip Code Zip Code Extension
Phone Number Phone Number Area Code Phone Number Exchange Phone Number Number Phone Number Extension Ext:

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High School / GED Graduation Year
Overall High School GPA
Last High School (or GED center) Attended
Post-Secondary Institution Attended
Post-Secondary Institution Attended
Please list the schools that you have attended below. You will be required to provide all transcripts. This will help determine your High School / GED completion, as well as any other post-secondary institution credits you may have earned.
What degree are you applying for?
Computer Literacy & Online Course Self-Assessment ~ For each item, please choose the answer that best describes you.
When are you interested in starting your program?
Please indicate your preferred enrollment status:
Plese check this box if you are the first person in your family to attend college

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Please list any academic distinctions and awards:
Please list any volunteer or extra curricular activities that you would like to highlight:
On average, how many hours a week do you work?
Computing Access
Gender

Address & Phone Number