Berk Trade and Business School
Application for Admission
Legal Name (Last, Family Name) *
Legal Name (First, Given Name) *
Legal Name (Middle Name)
Address (Number and Street | Apt #) *
Address (City) *
Address (State) *
Address (Country)
Address (Zip Code) *
Home Telephone (Area Code and Number)
Alternate Contact Number (Cell/Pager)
Social Security Number (U.S./Permanent Resident Only)
Date of Birth *
E-mail Address
For Federal Reporting Purposes: The following information does not affect the admission process. It is used for statistical purposes and to provide information required by the U.S. Department of Education in accordance with applicable federal regulations.
Country of Birth
Country of Residence
If you are not a U.S. citizen, state your immigration status:
Permanent Alien A#
Gender
Racial/Ethnic Background:
Marital Status
High schools attended in chronological order: (1)
Name of School, Location (City, State, Zip) and Dates Attended
High Schools attended in chronological order: (2)
Name of School, Location (City, State, Zip) and Dates Attended
Did you graduate from high school?
Do you have a GED?
GED - State of Issue
Are You A Veteran of the US Armed Forces? GED - State of Issue
Date of Discharge from US Armed Forces
College Information (1)
Institution, Dates Attended (From and To), Major, Degree Earned, Number of Credits
College Information (2)
Institution, Dates Attended (From and To), Major, Degree Earned, Number of Credits
College Information (3)
Institution, Dates Attended (From and To), Major, Degree Earned, Number of Credits
Application for Admission
Did you leave the last school you attended in good standing?
Have you every been suspended or expelled from any school, college or university?
How did you learn about the School:
Work Experience (1)
Employer, Position, and Dates of Employment (From and To)
Work Experience (2)
Employer, Position, and Dates of Employment (From and To)
Student Connections (Optional)
Please write down the name and telephone number of a friend or relative who can benefit from an education at Berk Trade School:
600 Hour Career Programs
Schedule
Placement Waiver
Statement of Understanding
I understand that this application cannot be processed if it has not been completed properly and that all information submitted is true to the best of my knowledge. Accordingly, any deliberate falsification or omission of data may result in denial of admission or dismissal. Further, I authorize Berk Trade School to use my information regarding my academic status, achievement and activities in news releases, and marketing materials.
Signature of Applicant *
Date Signed *
Submit
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