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  • Contact Information

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  • Additional Information
    • If yes, please complete the next field.

    • Negative legal history includes but is not limited to child/elder abuse, domestic violence, sex crimes. You must disclose all prior legal history for admission consideration.

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  • References
    We require three references in order to consider you for admission to our programs.
    • Please provide the name, phone number of your first reference below. Please also indicate the nature of your relationship (family, work colleague, peer etc) with each reference.
    • Please provide the information for your second reference below.
    • Please provide the information for your third reference below.
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  • Proof of Graduation Attestation
    The Institution that granted your diploma or GED equivalent must be accredited by an agency that is recognized by the U.S. Department of Education

    • [mm/dd/yyyy]

    • [mm/dd/yyyy]
    • If, for any reason, this attestation of high school graduation or its equivalent is found to be false or untrue, I understand that I may be subject to dismissal from the College; in such case all credits I have earned will be invalidated.

       Furthermore, I understand that if this attestation is found to be false or untrue, all Title IV financial aid or any state or institutional financial aid that was disbursed on my behalf must be refunded to the appropriate source, and that I will be responsible for payment of these funds to the original source or to InterCoast Colleges, if the College is required to and has refunded such funds on my behalf. 

       I understand that InterCoast Colleges may request verification of my statement.   If I am requested to provide verification of my statement, I understand that it is my responsibility to provide proof of graduation in the form as requested by the school.

    • Please type your first and last name.


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  • High School Education Remove Entry

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  • College Education Remove Entry

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  • We require a transcript from the high school(s) you attended. If you need to request a transcript from your high school, you can download a PDF of a transcript request form here: Transcript form. Please complete the form and submit it to your school.

    Alternatively, if you already have your transcripts, you can scan and upload the documents in the documentation section below by selecting the "attach" button.


  • Documentation
    Please use the "attach file" button to upload your transcript or diploma. You may upload multiple documents.
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    • Personal Certification
      Before submitting this form, you must certify that the information is accurate and true by checking the box below.
      • Please type your first and last name


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