Application Form For Admission

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5401 W 20
St/PO Box 69, Greeley, CO 80632 (970) 330-8008
TH
APPLICATION FOR ADMISSION
260 College Ave, Fort Lupton, CO 80621 (303) 857-4022
104 E Fourth Street, Loveland, CO 80637 (970) 667-4611
1120 South Gate Drive, Windsor, CO 80550 (970) 339-6286
Have you attended Aims Community College in the past year? If so, you do not need to complete another application. If you need
assistance with the application, please contact us at (970) 339-6404 or email us at admissions@aims.edu.
Contact Information
Anticipated Entry Term
Fall (August)
Spring (January)
Summer (May/June)
20________
First Name _________________________ Middle Name _________________________ Last Name __________________________
Suffix______________ Preferred Name ________________________ Previous Name(s) (if applicable) _________________________
Address
Please include both your physical address and your P.O. Box number, if you have one. We must have your physical address in order to determine your
.
tuition rate. If you will attend Aims on an F-1 Student Visa, fill out an International Student Application
Physical Address ____________________________________ City _____________________ State ____________ Zip ____________
County ________________________ PO Box ____________ City _____________________ State ____________ Zip ____________
Email Address ______________________________ Cell Phone (____) __________________ Land Line (____) __________________
Demographic Information
Your response to the following will in no way affect your admission status. This is requested in compliance with Federal Regulations.
Gender Male Female
Birthdate ______/______/______
Social Security Number________________________________
Are you registered with Selective Service? (All males between the ages of 17 years 11 months and 26 years must answer this question.
For more information, please visit ). Yes
No
Are you:
A Veteran
Active Duty Military
A Military Dependent (of a veteran or active duty service member)
Has either of your parents earned a 4-year degree?
Yes
No
Response to the race and ethnicity questions are voluntary and will not be used in a discriminatory manner. Answers to these questions will be used to meet state and
federal reporting requirements.
Ethnicity:
Hispanic/Latino
Non-Hispanic/Latino
Race (check all that apply): American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Caucasian, White
Academic Plans
I will take classes while still in high school.
I will take classes for personal interest only.
I will transfer credit to another school but will not graduate from Aims.
I am undecided about my major.
Academic Program
Liberal Arts-AA Associate of Arts (designed to transfer to a 4-year school). Area of study is optional; choose only one.
Anthropology
Art History
Business
Criminal Justice
Early Childhood Education
Economics
Elementary Education
English
French
Geography
History
Philosophy
Political Science
Psychology
Sociology
Spanish
Studio Art
Liberal Arts-AS, Associate of Science (designed to transfer to a 4-year school). Area of study is optional; choose only one.
Agriculture Business
Agriculture Education
Animal Science
Biology
Chemistry
Geology
Horticulture Business Management
Mathematics
Physics
Psychology
Soil and Crop Sciences
Associate of Applied Science (specific major required) _______________________________________________________________
Occupational Certificate (specific major required) ___________________________________________________________________
Selective Admission Programs: If pursuing a program listed below, a separate application may be required.
Nursing
Paramedic
Peace Officer Academy
Pre-Aviation
Radiological Technology
Surgical Technology
Term: ____________________
A00____________________
1)

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