Vatterott College - Online Division

Vatterott Online Application

Vatterott College is an equal opportunity educational institution. The College is committed to a policy of equal opportunity in the provision of educational programs, activities, and benefits of students as well as equal opportunity in all aspects of employment. Vatterott College does not discriminate on the basis of age, sex, color, race, religion, disability, sexual orientation, marital status, veteran status, national origin, or any other basis prohibited by federal, state, or local laws and regulations and does not tolerate such discrimination by its students, staff, and faculty. To conform with the Family Educational Rights and Privacy Act (FERPA), Vatterott College has identified the following as "directory information," which will be released: name, address, telephone number, e-mail address, date and place of birth, dates of attendance, major field of study, credit hours earned, degrees earned, honors and awards received, participation in official school activities, and most recent previous educational agency or institution. To request restriction of directory information, students must complete a "REQUEST TO RESTRICT RELEASE OF STUDENT DIRECTORY INFORMATION" form available in the campus registrar office.

Legal Name

First Name*:

Last Name*:

Middle Initial:

Maiden Name:

(If you have previously attended any other institution of higher learning under another name)

Permanent Address

Street Address*:

City*:

State*:

Zip*:

Contact Information

Home Phone*:

Work Phone:

Cell Phone:

Email*:

Additional Information

Date of Birth*:

Are you a veteran of the Armed Forces?

Nationality:

Are you Hispanic or Latino?

(Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South Central American or other Spanish culture of origin, regardless of race)

Race:

Citizenship:

Gender:

Marital Status:

Admissions Request

I am applying for:

I am applying for the start date of:

Check if start date is unknown:

Previous Education

High School or GED?

Have you previously attended Vatterott College?

Have you previously attended any other colleges or universities?

College:

I have college credit in English.

I have military experience for college credit.

I have college credit in Mathematics.

Do you wish to claim a disability at this time?

Vatterott College offers equal opportunities to students with disabilities. You are not required to disclose any disability you may have; however, if you wish Vatterott College to provide you with reasonable accommodations, you must disclose your disability. If you check "yes" above, you will be sent additional information by the Director of Education.

Financial Assistance Information

This Financial Assistance Information Section does not constitute an application for financial aid. This information is used to assist you in obtaining the proper financial application(s) for various educational assistance programs that are available.

I plan to request Federal Financial Assistance.

I plan to request Veterans Educational Benefits.

I plan to request Vocational Rehabilitation Benefits.

I plan to participate in a Job Training Program or other agency funding (WIA, etc.)

I plan to request employer tuition assistance.

Application Certification and Agreement

ADMISSIONS APPLICATION ONLY (Notice: This is not an Enrollment Agreement (Contract)) I understand that this is an admissions application only and does not constitute a binding enrollment agreement or contract. This information is being provided to Vatterott College to determine my eligibility for enrollment. Should I qualify for admission, I will be asked to sign a formal Enrollment Agreement (Contract).

I also specifically acknowledge that I have made my decision to apply for admission based upon the contents of the school catalog. I certify that I have personally authorized this application for admissions and that the information provided in this application is complete and accurate. I understand that withholding or providing false information will make me ineligible for admissions or result in dismissal from Vatterott College. I also certify that I have received a current Vatterott College Catalog or that I have read the Vatterott College Catalog online (http://www.vatterott-college.edu) and understand that I am responsible for adhering to all policies and procedures of Vatterott College, and failure to do so may result in suspension or dismissal. I have read and understand the school's Transfer of Credit Policy as outlined in the school's catalog. I understand that the programs at Vatterott College are occupational in nature and may not transfer to other institutions. I consent to receiving telephone calls and/or emails from Vatterott College at the telephone number and/or email address indicated in this application. I understand and agree that Vatterott College may disclose information from my educational records to U.S. Federal, State, and Local law enforcement, immigration, health, and other government agencies for the purpose of assisting such agencies in the administration of financial aid programs or to address matters of public health and safety. I have reviewed Vatterott College's Current Placement Report, Student Right to Know, Career Services Assistance Policies, and Advisement of Participant Rights. I am aware that Vatterott College's most recent campus security report, including drug and alcohol policy and crime statistics for the most recent three year period is available on the Vatterott College website at http://www/vatterott-college.edu.

I further understand that before I am allowed to enroll in Vatterott College and begin my training, I will be required to sign and be bound by a formal Enrollment Agreement (Contract)

Confirmation

Applicant Name*:

Date*:

I hereby certify that the information provided here is complete and accurate to the best of my knowledge. - Yes