College Registration Form
College Registration Form
We are excited to have you register at [Your Company Name]. Please fill out this form to provide us with your details for the application process. Ensure all sections are completed accurately.
I. Personal Information
Name
Gender
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Male
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Female
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Non-Binary
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Prefer Not to Say
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Date of Birth
Address
Phone number
Date of Registration
Applying for
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Freshman
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Sophomore
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Junior
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Senior
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Course/Program
Major
Semester
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Fall
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Spring
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Summer
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Winter
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II. Education
High School Name
High School Address
GWA in High School
Year Graduated
Awards/Recognitions Received
Organization(s)
If transferee, last college attended
Course Taken
Academic Year Last Attended
Semester Last Attended
Units Taken
Latest GWA
III. Emergency Contact Information
Name
Relationship
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Mother
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Father
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Spouse
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Child
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Guardian
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Phone number
Address
IV. Financial Information
Are you currently working?
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Yes
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No
If yes, specify:
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Part-time
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Full-time
Employer Name
Monthly Income
Are you availing any scholarships?
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Yes
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No
If yes, specify:
Are you receiving financial aid?
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Yes
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No
Do you have a student loan?
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Yes
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No
V. Registration Fee
Please note that the registration fee is non-refundable. This fee covers the processing of your application and is required to secure your spot in the program.
Payment Option
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Credit Card
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Debit Card
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Bank Transfer
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PayPal
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Date of Payment
Proof of Payment
Upload your proof of payment:
VI. Certification
I hereby certify that the information given in this form is true and correct to the best of my knowledge. I understand and agree that any false information provided can result in nullification of my application.
I consent to the use of my personal data for the processing of my application. I understand that this information will be treated confidentially.
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Applicant
Name: Date: |
