Home Student Application Please complete Part 1 of 3 below.Part 1: Basic Information1. First Name:* 2. Last Name:* 3. Gender:*Choose OneMaleFemaleNon-BinaryPrefer not to say4. Race/Ethnicity:*Asian/Pacific IslanderBlack/African-AmericanHispanic or LatinxNative AmericanWhitePrefer Not to Say5. How Would You Like Your Name to Appear on Your Graduation Certificate:* 6. Are you:18 years of age or older?*Choose OneYesNoA high school graduate or equivalent?*Choose OneYesNoProficient at speaking, reading and writing in English?*Choose OneYesNo7. Phone 1:* 8. Phone 2: 9. Email Address 1:* 10. Email Address 2: DO NOT CHECK THIS BOX UNLESS YOU HAVE AN ADDRESS OUTSIDE OF THE USA. If you have an address outside of the US, you may check the box. Then, you can proceed with the application and we will contact you directly to get your address information. 11. Mailing Address:* Street Address (Include Apt. #): City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 12. Is the address above the same address you would like your Study Materials shipped to?*Choose OneYesNoAddress You Would Your Study Materials Shipped To: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code By pressing the Submit button below, I verify that the name on this application above is me, and I am the person who is completing all parts of this application.View our privacy policy link below for information on how we protect your data.* I consent to my submitted data being collected and stored View our privacy policy link below for information on how we protect your data.CAPTCHA