To apply online for American Career College's programs across all our campuses, please fill in the online application form below. Fill out the form carefully and ensure that the information provided is accurate to the best of your knowledge.
Type of Phone:* Home Work Cell Can we text you?
State:* Select StateALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Gender:* Male Female
List current immigration status, if applicable:
Which immigration status do you intend to hold while enrolled here?:
Citizenship:* US Citizen US Permanent Resident Other:
Country of Citizenship:*
What race do you consider yourself to be?:* African American/Black Alaskan Native or American Indian Asian Filipino Hispanic/Latino(a) Native Hawaiian or Other Pacific Islander White Other/No response
Are you a veteran?: Yes No
Will you be using VA Benefits, Yellow Ribbon or applying for Veteran's assistance to help cover your tuition?: Yes No
Are you a high school graduate?:* Yes No
If no, do you have a High School Equivalency (HSE) or equivalent to a high school diploma?: Yes No
Name of high school where you received your high school diploma, High School Equivalency (HSE) or equivalent:*
High School graduation date:* Select HS Grad Date201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980Pre 1980Haven't Graduated
Have you previously enrolled at American Career College?:* Yes No If yes, when?:
Statement of Disclosure: Have you ever been charged with or convicted of any felony or misdemeanor (other than minor traffic violations) including juvenile charges, drug and alcohol offenses, deferred prosecutions / judgments, or expunged convictions?:* Yes No
Program:* Select Program Medical Assistant Dental Assisting Medical Billing and Coding Pharmacy Technician Optical Technician Vocational Nursing Surgical Technology Respiratory Therapy Occupational Therapy Assistant Radiography Associate Degree in Nursing Physical Therapist Assistant
Campus:* Select Campus
How did you hear about us?* Select One Internet Television Print Yellow Pages Friend Radio Facebook High School Presentation Signage Mail
By clicking above, I consent to receive calls and/or text messages* by a college representative with information for educational opportunities at the number(s) provided above. I understand calls may be initiated by an automated telephone dialing system. I need not grant this consent to receive information or to be eligible to enroll with ACC. I also understand that if I no longer wish to receive text messages from ACC, I can text back "Stop" at any time to unsubscribe from the service. (*Standard rates may apply.)
Security and Fire Safety Information - Annual Security Report: American Career College is committed to partnering with students, faculty and associates to create a safe campus community. Information regarding campus security as well as personal and fire safety, that covers topics such as Campus Security Authorities; disciplinary procedures; and crime prevention, reporting, and statistics for the most recent three-year period, is available at americancareercollege.edu/safety-security.html. You may also request a paper copy of the report by sending your request to firstname.lastname@example.org.
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