NOTE: In order for you be certified or licensed in the U.S., you must live and work in the U.S. and undergo a criminal background check.
State/Province ... Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Armed Forces Americas Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon N/A
Country ... AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BRAZIL BRITISH VIRGIN ISLANDS BRUNEI BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA COLOMBIA COMOROS CONGO, DEMOCRATIC REPUBLIC OF THE CONGO, REPUBLIC OF THE COOK ISLANDS COSTA RICA CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC EAST TIMOR ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY IVORY COAST JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOSOVO KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA MADAGASCAR MALAYSIA MALAWI MALDIVES MALI MALTA MARSHALL ISLANDS MAURITANIA MARTINIQUE MAURITIUS MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW ZEALAND NICARAGUA NIGER NIGERIA NORTH KOREA NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINE PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES, REPUBLIC OF POLAND PORTUGAL PUERTO RICO QATAR ROMANIA RUSSIAN FEDERATION RWANDA SAINT KITTS AND NEVIS SAINT LUCIA SAINT VINCENT AND THE GRENDINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH KOREA SPAIN SRI LANKA SUDAN SUDAN, SOUTH SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TOGO TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TUVALU TURKS AND CAICOS ISLANDS UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES OF AMERICA URUGUAY UZBEKISTAN VANUATU VATICAN CITY VENEZUELA VIETNAM VIRGIN ISLANDS, U.S. YEMEN ARAB REPUBLIC ZAMBIA ZIMBABWE
Complete only if different than above. Permanent Address
PERSONAL DATA – PART II This section is for statistical purposes only, acceptance is granted with no regard to race or national origin. Please type N/A if not applicable.
Citizenship ... Alien Registration Card Visa Card/ Type U.S. Citizen Other
Ethnicity ... Caucasian/ Non-Hispanic Hispanic/Latino Native American Pacific Islander/Caribbean Black Or African American Asian White
PERSONAL DATA – PART III If you answered “Yes” to any of the below questions, you may be required to attend a personal interview with an Administrative Representative for further evaluation.
Gender ... Male Female MALE FEMALE
Marital Status ... Single Married Other
ACADEMIC INTEREST Please check all that may apply
How did you hear Transitions Career Institute? (Check all that may apply)
EDUCATIONAL DATA - PART I HIGH SCHOOL INFORMATION:
Translation/Evaluation (Please type N/A if not applicable.)
Translation/Evaluation Date
Name of the Evaluating Company ... Globe WES Other
EDUCATIONAL DATA - PART II PREVIOUS COLLEGES, UNIVERSITIES, CAREER TRAINING SCHOOLS ATTENEDED
(Please type N/A if not applicable.)
Identification (driver's license, birth certificate or passport)
High School Diploma or G.E.D. certificate
Criminal Background Check
Physical Assessment Report
Approved Loan Document/Payment Schedule Agreement
Please select Yes if you agree to the following statement: I certify that the information given in this Registration Form is true and correct to the best of my knowledge. I recognize that withholding or misrepresenting information may result in cancellation of my acceptance.
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