Continuing Education Application

CONTACT INFORMATION

* First Name

* Last Name

Preferred Name

* Mailing Address Line 1

Address Line 2

* City

* State

* Zip

* Social Security Number

* Email

* Phone

Other Phone

Gender

* High School CEEB

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* Year Graduated in High School

College CEEB

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Year Graduated in College

Do you need to add another college?

Yes
No

PERSONAL INFORMATION

* Date of Birth

* Primary Language

* Do you have any relatives that work at Andrew College?

Yes
No

ENROLLMENT PLANS

* Class(es) in which I plan to enroll

I understand that courses taken in the Andrew College Continuing Education Program are non-credit classes. Approval to take non-credit is not considered admission to the college to take for-credit classes. If I wish to take credit courses at the college, I understand that I must first be accepted for admission and must submit the required admission documents including the admission application and official copies of all high school and college transcripts. Financial aid is NOT available for non-credit classes and payment is expected by the first class session.

* Applicant signature

* Date

Continuing Education Application

Contact Information