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Online Application

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.

A. Personal Information

First Name:*

Middle Name:

Last Name:*

Email:*

Phone:*

Type of Phone:*
Home Work Cell
Can we text you?

Zip:*

Address:*

Apt./#:

City:*

State:*

Gender:*
Male Female

Birth date:*

Birthplace City:*

Birthplace Country:*

Birthplace State:*

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

B. Educational Information

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:*

C. Department Data

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

D. Admission Information

Program:*

Campus:*

How did you hear about us?*

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 safetyandsecurity@americancareercollege.edu.

* Required Information

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