Admissions Application &
Early Incentive for High School Seniors Scholarship
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First Name:
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Last Name:
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Middle Initial:
Former Name(s), if any:
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E-mail:
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Address:
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City:
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State:
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Zip:
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Home Phone:
Work Phone:
Cell
Phone
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Other Phone:
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Gender:
Male
Female
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Date of Birth (mm/dd/yyyy):
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High School Name:
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High School Grad Date (month/year):
The following information is required for statistical purposes only. Northwestern Business College does not discriminate on the basis of race, color, sex, national orgin or religion.
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Ethnic Background:
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Citizenship:
U.S. Citizen
Permanent Resident
Other
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Intended Start Date, Quarter:
Fall 08
Summer 08
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Campus Location:
Chicago
Bridgeview
Naperville
Undecided
Division:
Day Classes
Evening Classes
Day and Evening Classes
Weekend Classes
Educational Goal:
Associate in Applied Science Degrees*
Administrative Assisting
Information Management Systems
Business Administration
Massage Therapy
Criminal Justice
Medical Assisting
Executive Accounting
Paralegal
Health Information Technology
Real Estate
Human Resources Assistant
Undecided
Emergency Contact Information:
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Name:
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Relationship:
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Phone:
I hereby
apply for Admission to Northwestern Business College.
I certify that the information provided on this application is correct and complete to the best of my knowledge.
I hereby
apply for the Early Incentive for High School Seniors at Northwestern Business College.
I certify that the information provided on this application is correct and complete to the best of my knowledge.
I hereby acknowledge that
I must complete an interview with a Northwestern Business College admission representative
as part of the admission procedure
as well as complete other admissions requirements.
The $25 application fee is waived for this special application if completed by April 21, 2008.
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required fields
*Program availability varies by campus location.
