CNI Application

Comments

This field is for validation purposes and should be left unchanged.

Today's Date(Required)

Personal Information

First Name(Required)

Last Name(Required)

Nickname(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Cell Phone(Required)

Home Phone(Required)

Email(Required)

Date of Birth(Required)

Age(Required)

Gender(Required)

Citizenship(Required)

Social Security #(Required)

U.S. Resident Alien No.

Are you a resident of the State of California?(Required)

Yes

No

If yes, as of when?

Program of Interest(Required)

How did you hear about our school?(Required)

Referred by:

How soon would you be able to start?(Required)

Personal handicap that may affect your job limitations (if any)

As of today, are you:(Required)

Number of dependent children that will receive more than half of their support from you:

Number of other dependents that live with you now, (other than your children or spouse) and that you provide and will continue to provide more than half of their support:

Veteran (U.S.)(Required)

Yes

No

Currently on Active Duty?

Yes

No

Housing during enrollment(Required)

Ethnic Group(Required)

Hispanic/Latino

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other

This information is required for statistical reporting to IPEDS, a contractor of the USDE.

If Other, please list

Have you ever been convicted of a misdemeanor?(Required)

Yes

No

Have you ever been convicted of a felony?(Required)

Yes

No

(If you answer yes to the above two questions, please speak with an Admissions Advisor. The College does not accept admissions applications from prospective students with felony convictions).

Previous Education

Have you completed a U.S. High School or its equivalent?(Required)

Yes

Graduation Date(Required)

Name of High School(Required)

City

State

Highest educational level completed(Required)

Certificate, Diploma or Degrees earned by the applicant within the USA or ABROAD: (If needed use AACRAO for reference in recognized foreign educational levels)

Last School/College/University Attended(Required)

Country

Last Date Attended

Financial Aid

Are you interested in applying for Federal Financial Aid(Required)

Yes

No

Have you received financial aid before?(Required)

Yes

No

If yes, do you owe a federal refund or have you defaulted on a federal loan?

Yes

No

Not sure

Registered with Selective Service?(Required)

Yes

No

(Must be registered to receive Federal Aid, see the FAO for further assistance)

Month/Year Registered(Required)

CNI Application

Personal Information

Previous Education

Financial Aid

Miscellaneous Information

Employment History

Support System