Star Career Academy - The College Alternative
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Online Application

 

 

Congratulations on your decision to make your future a great success. You'll be proud of your accomplishments. It all starts right here with this quick and easy online application. Just type in the information about yourself and one of our career representatives will be in touch to answer all of your questions.

Personal History
Name
Address
City State Zip
Home Phone# Work Phone# Email
Date of Birth Age # of Dependents including spouse
Social Security# Sex Male Female
Marital Status Single  Divorced Married Separated Widowed
Maiden Name
Means of Transportation
 
Educational History
High School
Location
Yrs Attended Last Grade Completed Grad. Date
GED Year Obtained
Location
Yrs Attended Grad. Date
College
Location
Yrs Attended Grad. Date
Trade/Business School
Location
Yrs Attended Grad. Date

Work Experience (List most recent job first)
Current Employer
Job Title How Long Employed?
Previous Employer
Job Title How Long Employed?
Previous Employer
Job Title How Long Employed?

Personal History Continued
In Case of Emergency, Notify
Address
City State Zip
Phone # Relationship
List any health problems
Are you currently taking any medication? Yes No
If so, what?
Have you had any medical procedures that we should know about?

Personal Reference
That we may contact to vouch for your character and ability to finish this program of study.
Name
Address
City State Zip
Phone #
(For office use only) Verified Yes No Comments


 

Corporate Offices: Centennial Center, Suite 105, 175 Cross Keys Road, Berlin, NJ 08009-9908

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