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To apply for any of Valley Colleges online or campus-based programs, please complete the following online application form fully.

Personal Information




Physical Address





Mailing Address









Education History

High School/GED





–OR–




Advanced education: college, university, and/or vocational/technical school.

Please note that applicants may be asked to furnish transcripts of their educational history.














General Information









Parent's Information











Online Classes


(If no, skip this section)





Reason for Applying


Reference

Please provide a reference person as a requirement of your application.










Understanding of Agreement

I understand that misrepresentation or omission of facts in this Application can result in termination from the program. This Application will be void if the original has been altered. By typing my name into the box below and entering a date I indicate my agreement to these terms.