GEM CITY COLLEGE APPLICATION FOR ADMISSIONS

I wish to enter as a student in the Gem City College, subject to the conditions of the catalog and the Regulations of the college. My health and physical condition are suitable for performance of the school Duties outlined in the catalog. My signature on this application for admissions also indicates that I am a citizen of the United States, and High School Graduate or I have been awarded a GED certificate. The registration fee of $100 will be billed to me, and I understand that my application cannot be processed until payment is received. This application is not a contract. The college does not admit M-1 or F-1 students.

Online Application

First Name

Middle Name

Last Name

Maiden Name

Street Address

City

State

Zip Code

Cell Phone

Home Phone

City of Birth

State of Birth

Birth Date

Parents or Spouse's Names

Parents or Spouse's Address

Name and Address of High School

Year of Graduation

GED Certificate

College or Institution of Higher Learning Attended

Address

Course Desired

Date of Entering

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GEM CITY COLLEGE APPLICATION FOR ADMISSIONS

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