Last Name

First Name

Middle Initial

Address

City

State

Zip

Phone

Email Address

Birthdate(mm/dd/yy)

Male Female
Gender

Ethnicity (optional)

High School/GED

Date of Graduation (mm/yy)

Current College Attending (if applicable)

I am Interested in:
Earning a Degree/Certificate   Transferring   Personal Enrichment
Job Training   Earning a GED

Associate of Arts
Business Administration
Early Childhood Education
Emergency Medical Services
Outdoor Leadership
Liberal Arts
-Anthropology
-Archaeology
-Art
-Economics
-English
-Foreign Language
-History
-Latin American Studies
-Music
-Native/Navajo Studies
-Philosophy
-Political Science
-Psychology
-Sociology
-Southwest Studies
-Speech/Communication
-Theatre

Associate of Science
Agriculture
Biology
Business Computing
Chemistry
Computer Science
Engineering
General Science
Geology
Mathematics
Physics
Pre-Medical

Associate Degree in Nursing
Pre-Nursing
Nursing

Associate of Applied Science
Accounting
Administrative Office Assistant
Auto Body
Automotive Technology
-Chrysler Program
-GM Program
-Toyota Program
Aviation
Carpentry
Cosmetology
Creative Arts and Technology
Dental Hygiene
Pre-Dental Hygiene
Diesel Mechanics
Diesel Technology
Drafting-Civil
Drafting-Mechanical
Fire Science
Geographic Information Science and Technology
Health Information Technology
Human Services
-Criminal Justice
-Substance Abuse
Industrial Process Operator
Information Technology
-Internet
-Networking
-Controls Technology
Legal Assistant
Machine Shop Technology
Manufacturing Technology
Medical Administrative Assistant
Microcomputer Applications
Physical Therapist Assistant
Police Science
Real Estate
Renewable Energy
Technical Theater
Tribal Governance
Urban Agriculture
Veterinary Technology
Welding

Certificate
Administrative Office Assistant
Alternative Licensure
-Elementary, Secondary, Special Education
Auto Body
Automotive Technology
Barber
Carpentry
Cisco CCNA
Comp TIA Networking
Computer Help Desk
Cosmetology
Cosmetology Instructor
Creative Arts and Technology
Diesel Mechanics
Diesel Technology
Early Childhood Education
Emergency Medical Services
Esthetician
Fire Science
Geographic Information Science and Technology
Lease Operator
Machine Shop
Manicuring/Pedicuring
Master CIW Designer
Medical Insurance Coder/Biller
Medical Transcription
Microsoft MCSE Core
Natural Gas Compression
Object Oriented Computer Programming
Police Science
Professional Airline Career Enhancement
Real Estate
Renewable Energy
Tribal Governance
Urban Agriculture
Veterinary Technology
Web Programming
Welding