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Getting to know You

1) Which career are you interested in today?*

Interested in an Associates of Occupational Science Degree?

Yes
No

2) How soon would you like to start classes?*

ASAP
1-2 Months
2-6 Months
6+ Months

3) What three questions are you hoping to get answered by your admissions representative?*

4) Where have you seen us?*

Click all that apply.

If referred, who can we thank?

Which radio station?

Thank you for expressing interest in our College! In an effort to get to know you better please answer the following questions. A minimum of 3 complete sentences on EACH of the following 4 questions is required in order to be considered for enrollment.

1) Where do you see yourself in 3 years? What goals will your education at this college help you achieve?*

2) What led you to choose this field and this college?*

3) Tell us about your current situation.*

4) Our goal is to turn every student into a graduate! What challenges might stand in your way of becoming a successful graduate? What can you do to overcome these challenges in order to be successful? (Ex: Transportation, Bus fare, Family, Finances, Educational challenges)*

Emergency Contacts

2 Emergency Contacts are required. Almost there, one more page!

Emergency Contact 1*

First Last

Relation

Phone*

Email*

Address

Street Address Address Line 2 City State ZIP Code

Emergency Contact 2*

First Last

Relation*

Phone*

Email*

Address

Street Address Address Line 2 City State ZIP Code

Step 1 of 5 - Student Information

Student Information

Current Employer Information

Educational Background

Getting to know You

Emergency Contacts

I certify the information is true to the best of my knowledge and belief and I understand that I subject myself to disciplinary action in the event that the application facts are found to be falsified

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