Student Admission Information Form

Please fill in the following form as completely and accurately as possible. Failure to do so may delay the processing of your application.

Personal Data:

    Mrs.    Ms.    Miss    Other: Please specify

  State:

Zip/Postal Code:   Country:

Home Phone (with the area code):   Work Phone:   Facsimile: 

E-mail:

Education Objective:

Program Desired (check preferences):

Level 1

Level 2

Level 3

Sound Alignment Systems certification

Preferred Start Date (check preference):

Immediately

Other: Please specify

Do you have any medical, physical, or learning disabilities that might affect your studies? Yes    No

Do you have any hearing impairment? Yes    No

Do you suffer from color blindness? Yes    No

Education Record (for Levels 1, 2 or 3 only):

Last High School Attended or Currently Attending:

Name of School:

City: State:

Grade/Level Completed: Degree/Diploma:

All College programs Attended or Currently Attending:

Name of School:

City: State:

Grade/Level Completed: Degree/Diploma:

Name of School:

City: State:

Grade/Level Completed: Degree/Diploma:

Employment Record:

Employer (most recent):

From (mm/yy): To (mm/yy):

Duties Performed:

Employer (next recent):

From (mm/yy): To (mm/yy):

Duties Performed:

Other skills or hobbies:

How did you hear about the college?

Friend/Colleague    Web/Search Engine    Advertisement

A/V Industry Professional: Please specify

Trade Show/Conference: Please specify

Why did you choose this particular program?

What type of employment do you wish to obtain?

 

after clicking "Enroll" you'll be taken to a payment options page

 

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