ADI Online Enrollment Application: Step 1 of 2

The information requested below is for record-keeping purposes only, to determine the applicant's eligibility for enrollment and to satisfy law under Arizona's new Private Postsecondary and Vocational Education Act.

Desired Program of Study
First Name
Last Name
Middle Initial
Address
City
State
Zip
Telephone
E-Mail
   

 

Education High School College Graduate/Professional
School Name
Years Completed
Type of Diploma/Degree
Major
Specialized Training
Military Experience
Skills and Languages

 

APPLICANT'S STATEMENT AND ACKNOWLEDGEMENT

Checking this box certifies that I have read, understood and agreed to my rights and responsibilities, and that the institution’s cancellation and refund policies published in the Enrollment Agreement have been clearly explained to me. I hereby acknowledge that I fully understand all terms of this agreement and have reviewed a copy of the School Catalog dated 1/2007 to 12/2008.

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