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To complete the Admissions Process, 1. Complete the Admission Application for 2. Pay the one-time, non-refundable $50 application fee 3. Provide a copy of Your High School Diploma, GED or equivalent. 4. Provide a Pastoral Letter of Recommendation LEGAL NAME: _______________________________________________________________________Last First MAIDEN NAME: _______________________________ HOME ADDRESS: _______________________________________________________________________ Number & Street City State Zip Mailing Address: _______________________________________________________________________ (Mark SAME if is the same as the Home Address) Email:____________________________ SSN #:_________ - _______ - __________ Home #__________________________ Work #_____________________________ Cell # __________________________________ Date of Birth: _____/_____/19_____ Sex: ( ) MALE ( ) FEMALE Do you have any Health problems/ concerns? ___________________________________________________ Please list Emergency Contact: Name: _______________________________________ Address: _______________________________________ _______________________________________ Phone: ________________________________________ __________________________________ __________________________________ Applicant’s Signature Date |
