Amundsen Educational Center Enrollment Application
Thanks for your interest in AEC! Please fill out the form and submit it to us for more information or to be considered for enrollment. If you prefer to print a pdf version of this form, go to http://www.aecak.org/printable-enrollment-forms.html and follow the directions for submitting a paper application.
Email address *
Last Name *
Your answer
First Name *
Your answer
Middle Name *
Your answer
Mailing Address- Street or PO Box *
Your answer
Mailing Address- City *
Your answer
Mailing Address- State *
Your answer
Mailing Address- Zip *
Your answer
Physical Address- If different than mailing address.
Your answer
Daytime Phone Number *
Your answer
Evening Phone Number
Your answer
Date of Birth *
MM
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DD
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Social Security Number *
Necessary for enrollment.
Your answer
Driver's License State and Number
Your answer
Gender *
Marital Status
Number of Dependents under age 18
Do you need physical accommodations to help complete your program? *
Please describe physical accommodations you might need.
Your answer
Do you need learning accommodations to help complete your program? *
Please describe learning accommodations you might need.
Your answer
Do you have a high school diploma or GED? *
How do you intend to pay for your training? *
Your answer
What program or courses are you applying for enrollment? *
Place of Birth: City, State, and Country
Your answer
First language, if other than English
Your answer
Primary language spoken at home
Your answer
US Armed Services Veteran
Have you ever been convicted of a felony? *
If you have been convicted of a felony, please explain:
Your answer
Have you ever been convicted of a misdemeanor? *
If you have been convicted of a misdemeanor, please explain:
Your answer
Will you need a place to stay while attending AEC? *
If you wish to be identified with a particular ethnic group, please check all that apply:
Are you affiliated with a tribe?
Your answer
Will you be under the age of 18 when you attend AEC? *
How did you hear about AEC?
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