"[The instructors] have taught me so much and helped me to realize my true potential. I hold my head higher because of [them]."

- Michelle Renaud

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Online Application

Please fill out the following application form and one of our Admissions Representatives will contact you within 48 hours. Thank you for your time.

* indicates required fields

GENERAL INFORMATION
* Last Name
 * First Name
 Middle Initial
Maiden Name (if applicable)
* Street Address
* City
* State
Country (if other than U.S.)
 * Zip Code
* Email Address
* Phone
Day Evening
The best time to call me is

PERSONAL
Date of Birth
/ /
MM/DD/YYYY		 Gender
Male Female

Are you a U.S. citizen? Yes No

EDUCATION
I have graduated from
high school
Yes No		 I am planning to graduate
from high school
Yes No		 I have received a GED certificate
Yes
No		 I am expecting to receive a GED certificate
Yes No
If Yes, Month/Year
/
MM/YYYY		 If Yes, Month/Year
/
MM/YYYY		 If Yes, Month/Year
/
MM/YYYY		 If Yes, Month/Year
/
MM/YYYY
Name of High School
 City
State
Name as it appears on high school academic records
Have you applied to THIS institution before?
Yes No
If yes, for which year?

(YYYY)
Have you attended college before?
Yes No
If you have attended college, approximately how long did you attend?
Less than 1 year
1-2 years
2-3 years
3-4 years
Degree received?
Yes No
Extracurricular Activities (such as community or school involvement)


EMPLOYMENT

Current Employer
 Position
Duties

Indicate the number of hours you currently work per week

Have you set money aside for your education?
Yes No


METHOD OF PAYMENT

I will pay for my entire term charges on or before registration.
I will provide a letter from an authorized company or agency confirming that it will pay my entire charges each term.
I will require financial assistance to help pay my term charges.

* How did you hear about The Career Institute at American International College?

* Preferred Location
* Program of Interest
What are you hoping to achieve with your education from The Career Institute at American International College?
How quickly are you looking to start your career?

We respect your privacy!
Your information will never be used for any purpose other than communications regarding the School.