Central International College Application

Central International College Application

Complete the entire application form and submit the nonrefundable application fee of $25. Have official transcripts from all high schools and colleges attended sent to the CIC. Provide three (3) letters of recommendation using the form provided on the website.
Personal Information
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
E-mail*
example@example.com
Primary Phone Number*
Format: (000) 000-0000.
Gender*
Race*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
- Secondary Education
  
  List your schools, beginning with the most recent
- School #1 Information
- School name*
- City, State*
- GPA*
- Graduated*
  
  YesNo
- Entry date*
  
  MonthDayYear
  Date
- Exit date*
  
  MonthDayYear
  Date
- Unofficial Transcript*
  
  Cancelof
- School #2 Information
- School name
- City, State
- GPA
- Graduated
  
  YesNo
- Entry date
  
  MonthDayYear
  Date
- Exit date
  
  MonthDayYear
  Date
- Unofficial Transcript
  
  Cancelof
- SAT/ACT Information
- SAT score (combined)
- ACT score
- Test date
  
  MonthDayYear
  Date
- Test Report
  
  Cancelof
- GED Information
- GED Provider
- City, State
- Completion Date
  
  MonthDayYear
  Date
- GED Certificate
  
  Cancelof
- Post-Secondary
  
  List any colleges attended, beginning with most recent
- College #1
- School name
- City, State
- GPA
- Graduated
  
  YesNo
- Entry date
  
  MonthDayYear
  Date
- Exit date
  
  MonthDayYear
  Date
- Unofficial Transcript
  
  Cancelof
- College #2
- School name
- City, State
- GPA
- Graduated
  
  YesNo
- Entry date
  
  MonthDayYear
  Date
- Exit date
  
  MonthDayYear
  Date
- Unofficial Transcript
  
  Cancelof
- Employment History
  
  List your previous work experience, beginning with the most recent
- Employer #1
- Employer
- Supervisor Name and Phone Number
- City, State
- Type of Work
- Start date
  
  MonthDayYear
  Date
- End date
  
  MonthDayYear
  Date
- Employer #2
- Employer
- Supervisor Name and Phone Number
- City, State
- Type of Work
- Start date
  
  MonthDayYear
  Date
- End date
  
  MonthDayYear
  Date
- How do you plan to make payments?*
  
  CashHigher Education LoanCredit CardVA BenefitsFederal Pell GrantEmployerInstallment PaymentsOther
- If other, explain.
- Have you previously received any Federal and/or State financial aid?*
  
  YesNo
- If yes, what types of financial aid have you received?
  
  PerkinsSEOGFederal Pell GrantFederal Stafford (GSL)Other
- If other, explain.
- Would you like information on financial aid?
  
  YesNo
- Activity Information
- Briefly describe other activities in which you have recently or currently participate (ie, church, musical group, sports team) and your role. *
- Driver's License or Picture ID*
  
  Cancelof
- Proof of Health Insurance
  
  Cancelof
- Proof of Current Physical Examination
  
  Cancelof
- Are you a veteran of the Armed Forces?*
  
  YesNo
- Are you a U.S. citizen?*
  
  YesNo
- Are you a resident alien?*
  
  YesNo
- How did you hear about Central International College? Choose all that apply
  
  College Fair/NightGuidance CounselorTeacherEmployerCIC GraduateCIC StudentNews Media (newspaper, tv, radio, internet)
- When you press Apply Now, you will be redirected to Paypal to pay the application fee.
- Submit Nonrefundable Application Fee
  prevnext( X )
  Application Fee
  $25.00 Quantity
  
  Total
  
  $0.00
- Applicant Signature* Date*
- Parent/Guardian Signature (required if applicant is a minor) Date
- Should be Empty:

Central International College Application

Personal Information

Secondary Education

School #1 Information

School #2 Information

SAT/ACT Information

GED Information

Post-Secondary

College #1

College #2

Employment History

Employer #1

Employer #2

Activity Information