Online Application

Application for Admission

Please fill out completely.

WHICH CAMPUS WOULD YOU LIKE TO ATTEND?
FIRST NAME
MIDDLE
LAST NAME
AGE
DATE OF BIRTH
ADDRESS (STREET)
CITY
STATE
ZIP CODE
HOUSING
HOME PHONE
WORK PHONE
MARITAL STATUS
DRIVER'S LICENSE
OWN CAR
- Yes
EMAIL ADDRESS
CELL PHONE
ETHNICITY
Survey for US Department of Education
GENDER
CITIZENSHIP
SPOUSE'S NAME
SPOUSE'S OCCUPATION
COMPANY
PHONE
NEAREST RELATIVE'S NAME
NEAREST RELATIVE'S OCCUPATION
COMPANY
PHONE
HAVE ANY OF YOUR FRIENDS OR RELATIVES ATTENDED THIS SCHOOL?
NAME OF FRIEND OR RELATIVE WHO ATTENDED THIS SCHOOL?
HOW DID YOU LEARN ABOUT US?
TRANSPORTATION
AVAILABILITY DATE
INTENDED PROGRAM OF STUDY
HOBBIES & INTERESTS
Military Service

YOU MUST ANSWER EACH OF THE FOLLOWING QUESTIONS COMPLETELY.
ARE YOU A VETERAN?
REGISTERED FOR SELECTIVE SERVICES (males only)
IS YOUR SPOUSE OR PARENT ON ACTIVE MILITARY DUTY OR A VETERAN? (You might be eligible for free tuition!)
Level of Education

HIGH SCHOOL
NAME OF SCHOOL
CITY
STATE
FROM (Month, Year)
TO (Month, Year)
YRS COMPLETED
GRADE AVG.
DEGREES TITLE
GRADUATED
MAJOR OR SUBJECTS
Level of Education

COLLEGE / UNIVERSITY / OTHER
NAME OF SCHOOL
CITY
STATE
FROM (Month, Year)
TO (Month, Year)
YRS COMPLETED
GRADE AVG.
DEGREES TITLE
GRADUATED
MAJOR OR SUBJECTS
Employment

START WITH PRESENT OR MOST RECENT POSITION HELD INCLUDING MILITARY EXPERIENCE.
FROM (Month, Year)
COMPANY NAME
ADDRESS
CITY
STATE
ZIP CODE
TO (Month, Year)
POSITION, TITLE OR RATING
INDUSTRY OR PRODUCTS
SUPERVISOR NAME
SUPERVISOR TITLE
SUPERVISOR PHONE
DUTIES
FROM (Month, Year)
COMPANY NAME
ADDRESS
CITY
STATE
ZIP CODE
TO (Month, Year)
POSITION, TITLE OR RATING
INDUSTRY OR PRODUCTS
SUPERVISOR NAME
SUPERVISOR TITLE
SUPERVISOR PHONE
DUTIES
FROM (Month, Year)
COMPANY NAME
ADDRESS
CITY
STATE
ZIP CODE
TO (Month, Year)
POSITION, TITLE OR RATING
INDUSTRY OR PRODUCTS
SUPERVISOR NAME
SUPERVISOR TITLE
SUPERVISOR PHONE
DUTIES
References
REFERENCE
OCCUPATION
COMPANY
ADDRESS
PHONE
REFERENCE
OCCUPATION
COMPANY
ADDRESS
PHONE
REFERENCE
OCCUPATION
COMPANY
ADDRESS
PHONE
All of the above information is accurate and correct to the best of my knowledge. I hereby authorize the school or its agent to communicate with any person, credit reporting agency, firm or corporations, including my employer, in respect to my suitability to attend school. Further, by submitting this application, I give consent to Aviation Institute of Maintenance, and their agents, to contact me by email or telephone (both mobile and home, including pre-recorded and/or using auto-dialers) at the number I have provided in the form above to receive marketing information about Aviation Institute of Maintenance's programs, offers and general information about our school as part of our Privacy policy. I understand that my consent to receive SMS text messages is not required to get a quote or to purchase any products or services from Aviation Institute of Maintenance, or its affiliated schools or companies, and that I may instead reach Aviation Institute of Maintenance or its related entities by phone at 1-888-349-5387 to proceed without giving this consent. I agree to submit any claims arising out of my attendance or any aspect thereof, including disputes concerning alleged civil rights violations, to binding arbitration.
Applicant Signature*
Date*
Phone
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Application for Admission

Military Service

Level of Education

Level of Education

Employment

References

Campus Locations

Student Services

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