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We are here to support you from the start. Do you have a high school diploma or GED? That’s all you need to apply and start your college journey! Once you complete the application, one of our team members will reach out to you to discuss next steps!

First Name*
Preferred First Name
Last Name*
Gender Pronouns*
Check all that apply
- He/Him/His
- She/Her/Hers
- They/Them/Theirs
- Ze/Zir+Hir/Zirs+Hirs
- Not listed
Preferred Gender Pronouns
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Would you be interested in receiving a small welcome gift in the mail?*
- Yes
- No
Do You Have a High School Diploma or GED?
Choose only one
- Yes
- No
- Anticipated, May 2021
What Year Did you Complete Your High School or GED Program?*
Choose only one
Where did you complete your High School Diploma or GED?
What high school do you attend or where are you getting your GED?
Where did you complete your High School Diploma or GED?*
Where did you complete your High School Diploma or GED?*
Preferred Way to Contact You?*
Check all that apply
- Email
- Phone
- Text
- Other
Tell us the best way to contact you.
How Did You Hear About Us?*
Check all that apply
- My counselor, teacher or other school staff member
- Alumni outreach
- Referral from a fellow student/alumni
- Other
Tell us how you heard about us.
Who is your school counselor or alumni contact?
Do you have an interest in a specific career already? If so, what is it? (If not, don’t worry - we’re here to guide you!)
Do you have an interest in a specific type of field or degree already? If so, what is it? (If not, don’t worry - we’re here to guide you!)

Have questions?

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303.527.4214
hello@myAdvanceEDU.org

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