Application Form for Admission

Online Application Form for Admission

Your application will be reviewed by the College Administrators. Upon acceptance, you are required to submit
all necessary enrollment documents within 2 weeks.

Select Start Date:

What Program are you seeking? (Check one):
►	Bachelors Degree Programs:	Duration	Cost
	Business Management and Information Technology	179 weeks	$29,880
	Computer Programming, Networking and Communications	179 weeks	$29,880

► Associate Degree Programs:
	Computer Programming and System Design	95 weeks	$15,687
	Information Systems and Network Administration	95 weeks	$15,687
	Information Systems and Internet Technology	95 weeks	$15,687
	Information Systems and Multimedia Technology	95 weeks	$15,687
	Information Systems and Security Technology	95 week	$15,687
	Business Administration and Information Technology	95 weeks	$15,687
	Criminal Justice	95 weeks	$15,687
	Health Information Technology	95 weeks	$15,687

► Technical Diploma Programs:
	Computer Programming and System Design	53 weeks	$8,964
	Information Systems and Network Administration	53 weeks	$8,964
	Information Systems and Internet Technology	53 weeks	$8,964
	Information Systems and Multimedia Technology	53 weeks	$8,964
	Information Systems and Security Technology	53 weeks	$8,964
	Business Administration and Information Technology	53 weeks	$8,964
	Criminal Justice	53 weeks	$8,964
	Health Information Technology	53 weeks	$8,964

► Certificate Programs:
	Information Technology Certificate	26 weeks	$4,482
	Desktop Publishing Specialist Certificate	35 weeks	$5,976

Personal Information:
First Name:		Last:
SSN (Secured Information)		Birth Date: [mm/dd/yy]
Employer Name:		Phone:

Computer Knowledge:	How would you rate your computer knowledge on a scale of: [1 -5]?
	1 = None 2 = Basic Knowledge 3 = Good 4 = Very Good 5 = Excellent,

Previous Education:
Have you previously attended a college or a university?	Yes: No:

	School Name	City, Sate, Country	Graduated? [Yes/No]
High School::			Yes:	No:
College:/University:			Yes:	No:

Your Contact Information:

Home Phone:		Cell Phone:
Email:
Address:	City: State: Zip Code:

How do you plan to fund your education?

I will provide ACoT with a copy of my High School Diploma, GED, or equivalent.

			To avoid Spam; enter "acot" in the following field:
	Student Name (signature)	Application Date

Questions, Comments or best time to call:

If you have having technical problems or have questions about this application please call: 800-908-9329 or email admins@acot.edu

To submit your application for review please click the Submit button below. If you would like to start over select the Reset button to clear your information.