Apply Now "*" indicates required fields Step 1 of 6 16% Student InformationName* First Last Email* Date of Birth* Student InformationAddress* Apt # City* State*SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code* Cell Phone* Level of education at the start of your programLevel of education at the start of your program* High School GED College/Technical Institute High School Name* Graduation Month*SelectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberGraduation Year* High School City* High School State*SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingName of College GED Month*SelectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberGED Year* Do you have a copy of High School Diploma or GED Certificate?Do you have a copy of High School Diploma or GED Certificate?* Yes No Name as it appears on High School records* First Last How did you hear about us?How did you hear about us?* Friend Internet Social Media Other Please specify: Select one of the payment optionsPayment Option Selection* Option #1 – $4,300Pay in Full by First Day of Class Pay The Full Tuition Of The Program With One Payment Of$4,300 Select Selected Option #2 – $4,4507 Installment Payments Pay in Full by First Day of Class$2,000 Pay by Each Following Class$350 Select Selected Option #3 – $4,7007 Installment Payments Pay in Full by First Day of Class$1,200 Pay by Each Following Class$500 Select Selected All Information Stated Above is True and CorrectName Date SignatureNameThis field is for validation purposes and should be left unchanged.
