Student College Application

Student College Application

Please complete the application for the college admission. Type or print legibly. Once your form is complete, submit the application and a recent (within 90 days) photograph of yourself to email address: agbc.central@gmail.com: attention: Student Application
Student Check List

The following items are required before we can evaluate your application. Please include the following documents with your application. 1. $50 registration fee 2. Recent photograph (passport or wallet size is acceptable) 3. Copy of High School Diploma 4. Copy of Drivers License or other legal documents (as applicable) 5. High School or College transcripts
Personal Information
Full Name

First NameLast Name
Birth Date

MonthDayYear
E-mail
example@example.com
Phone Number
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education Background

List your previous schools, beginning with the most recent

College Information
College name
GPA
Entry date

MonthDayYear
Date
Exit date

MonthDayYear
Date
Degree program

What Degree program are you interested in enrolling in?
Choose a program
Please explain in the box why you are interested in the program you selected. (Optional)
Enrollment Agreement

The required registration fee of $50.00 is nonrefundable. Your signature is required and is the agreement to the financial terms of this application for enrollment.
Signature

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Application Fee $50.00*

USDApplication Fee

Credit Card

Cash App Pay

Student Check List