New Student Online Application Form

TTH

Student Online Application Form

General Information

First Name

Middle Name

Last Name

Street

City

State/Province

Zip/Postcode

Country

Home Phone

Work Phone

Cell Phone

Social Security Number

(Please follow the format xxx-xx-xxxx)

If Other, please specify

(Passport number, etc.)

Have you been convicted of a Felony?

Yes No Not Selected

Maiden Name

Previous Name/s if applicable

Marital Status

Program Start Date

Gender

Birth Date

Education Level

United States citizen

Yes No Not Selected

Program

Location Status

How Did You Learn Of Our College?

If Other, please explain:

Please upload a photo that is NOT more than 300KB if possible

Picture File

Educational History

High School Diploma or GED?

Date Graduated or GED issued

(mm/yyyy)

Name of HS

(IF APPLICABLE - where you received HS diploma)

HS City

HS State

Have you contacted your HS to have a transcript sent?

Yes No Not Selected

College Attended

Have you previously attended any other program for Funeral Service Education

Yes No Not Selected

If yes, what college

**********************************************

Total Years of College Completed

School Name 1

City

State

Graduate

Yes No Not Selected

Degree Awarded & Year

Major or Subject

**********************************************

School Name 2

City

State

Graduate

Yes No Not Selected

Degree Awarded & Year

Major or Subject

**********************************************

School Name 3

City

State

Graduate

Yes No Not Selected

Degree Awarded & Year

Major or Subject

**********************************************

School Name 4

City

State

Graduate

Yes No Not Selected

Degree Awarded & Year

Major or Subject

**********************************************

Please list any other colleges or schools attended

Official College Transcripts must be sent to the college. Have you contacted all previous colleges to have these sent?

Yes No Not Selected

Disability Information

Will you need any resources, support, and/or accommodations while attending our college?

Yes No Not Selected

If YES, please explain the resources, support and /or accommodations necessary

Veteran Information

Branch of Service

Date of Entry

Date of Discharge

If you are a veteran, do you expect to receive veterans benefits while attending college?

Yes No Not Selected

Please Check One

Chapter 30 – Montgomery GI Bill (MGIB)

Chapter 31 – Vocational Rehabilitation and Employment

Chapter 33 – Post 9/11 GI Bill

Chapter 35 – Dependents Educational Assistance Program

Chapter 1606 – Montgomery GI Bill –Selected Reserve (MGIB-SR) Assistance Program

Other

If Other, please list

Signature

Date:

(mm/dd/yyyy)

Signature:

Enter the above code

Required