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COLLEGE PLACEMENT AND PRE-APPLICATION FORM
Please complete the Placements Registration form below for a College placements evaluation Process.
REFERRAL INFORMATION
Enter Referral Code :
PERSONAL INFORMATION
First Name:
*
Last Name:
*
Email Address:
*
Phone Number With Area Code:
*
Address:
*
City:
*
Zip Code:
*
State:
Select State
Alabama
Alaska
ArkansasArizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
U.S. Virgin Islands
Country:
Select Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antarctica
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo Democratic Republic of the
Costa Rica
Côte d'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia Federated States of
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Lucia
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey Republic of
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vatican City
Venezuela
Vietnam
Yemen
Yugoslavia (Serbia and Montenegro)
Zaire
Zambia
Zimbabwe
Gender:
Select Your Gender
Female
Male
Date Of Birth M/D/Y:
*
Country Of Citizenship:
*
Must be 18 Yrs or Older to apply for placements
Are you 18 Years or Older:
Make Selection
Yes
No
EDUCATIONAL BACKGROUND
Highest Education Attained:
*
1ST INSTITUTION
Name of Institution Attended:
*
Full Address of Institution:
*
Years Attended:
*
Credentials Earned:
*
2ND INSTITUTION
Name of Institution:
*
Full Address of Institution:
*
Years Attended:
*
Credentials Earned:
*
SELECT PROGRAM STUDY
Degree Program you wish to Pursue:
Select Program
ASSOCIATE DEGREE PROGRAMS
BACHELOR DEGREE PROGRAMS
MASTER DEGREE PROGRAMS
DOCTORATE DEGREE PROGRAMS
COMBINED BACHELOR/MASTER DEGREE PROGRAMS
COMBINED MASTER/DOCTORATE DEGREE PROGRAMS
LAW SCHOOL PROGRAM
Select a Field of Study:
Select Field
Accounting
Adult Education
African-American Studies
Aviation Management
Bachelor of Laws
Banking
Business Administration
Business Law
Career Guidance
Chemical Dependency Guidance
Civil Engineering Management
Communications
Computer Engineering Management
Computer Information Systems
Computer Science
Creative Writing
Criminal Justice Management
Divinity Studies
Early Childhood Education
Economics
Education Administration
Education Guidance
Electrical Engineering Management
Elementary Education
Engineering Management
English
Environmental Engineering Management
Environmental Sciences
Film and Video
Finance
Fire Safety Management
General Science
General Studies
Health & Physical Education
Health Service Management
History
Holistic Studies
Hotel Restaurant and Tourism
Hypnotherapy
Human Resource Management
Industrial Engineering Management
Insurance and Risk Management
International Business
Library/Information Science
Law Enforcement Management
Logistics Management
Management
Management Information Systems
Marketing
Mechanical Engineering Management
Metaphysics
Ministry
Mythology and the Mind
Nutrition
Occupational Health and Safety
Paralegal Studies
Philosophy
Political Science
Psychology
Public Administration
Public Health
Social Work
Sociology
Theocentric Counseling
Theocentric
Psychology
Theocentric Studies
Total Quality Management
TESTING INFORMATION
Enter TOEFL Scores:
*
Enter GRE Scores:
*
Enter GED Score:
*
Enter GMAT Score:
*
Enter SAT Scores:
*
Will you require Placements with testing:
Select Test
ACT
A LEVEL
BAR EXAMINATION
CFA
CPA
EA
GMAT
GRE
IELTS
INSURANCE
LSAT
MCAT
NASD
NCLEX
PSAT/NMSQT
SAT
TOEFL
USLM
MEDICAL BOARDS
COLLEGE TYPE
Type of College You Require:
Select College Type
Distance Learning University
2 Year College
4 Year College
Public College
Private College
All Men College
All Women College
Religious Affiliate College
HOUSING
Where would you live during your program study:
Select Housing
Domitory
Student Apartments
Family
An America Family
If you selected American Family please state full name and Address of Family
*
SEMESTER APPLYING FOR
What Semester are you applying for:
Select Semester
Spring 2004
Summer 2004
Fall 2004
Winter 2005
Spring 2005
Summer 2005
Fall 2005
Winter 2006
Spring 2006
Summer 2006
Fall 2006
COLLEGE LOCATION
Which U.S. State Would you like to study in:
Select State
Alabama
Alaska
ArkansasArizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
U.S. Virgin Islands
Which Country Would You Like to Study In:
Select Country:
Afghanistan
Albania
Algeria
Andorra
Angola
Antarctica
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo Democratic Republic of the
Costa Rica
Côte d'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia Federated States of
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Lucia
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey Republic of
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vatican City
Venezuela
Vietnam
Yemen
Yugoslavia (Serbia and Montenegro)
Zaire
Zambia
Zimbabwe
TUITION BUDGET
What Tuition Budget Can You Afford:
Select Budget
$1000-5000 (Distance Learning)
$5000-10000 (2 Year College)
$10000-12000
$12000-15000
$15000-20000
$20000-up
Who will be the Financial source for your program study:
Select Source
Self
Family
Sponsor
Scholarship
Financial Aid
Grant
Loan
Other
If you selected other please state source
*
EMPLOYMENT EXPERIENCE
JOB 1
Name of Company:
Length of Employment:
Job Responsibility
JOB 2
Name of Company:
Length of Employment:
Job Responsibility:
ALL APPLICANTS AGREEMENT
I Certify that all the information in this application is complete and correct. I also agree to the terms and conditions disclosed to me and have Ideal Perspective perform College Placements Services and necessary referrals needed with the parties involved to deliver my services as prompt as possible. I'm also aware that Service will not be delivered until Ideal Perspective has received Payments and Relevant transcripts for placements processing.
I Disagree
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