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–None–YesNo

–None–FemaleMalePrefer Not To Say
–None–African AmericanAmerican IndianHispanicAsian/Pacific IslanderWhiteOtherPrefer Not To Say

PROGRAM OF INTEREST

*Select a CampusAugustaMacon

Select a Program

School Attended


–None–YesNo

If Graduated, Graduation Date:
Expected Graduation Date:

Emergency Contact Information

Name:

Phone Number:

Relationship:

How did you hear about Helms College?

–None–BillboardEventHigh SchoolJob ConnectionMovie TheatreOtherPrintRadioReferralSocial MediaTVWebsite

Personal Statement

I DECLARE under penalty of perjury that the statements and information submitted in this online application are true and correct.
I UNDERSTAND that all materials and information submitted by me for purposes of admission become the property of Helms College.
I UNDERSTAND that federal and state funds are available to assist me with the cost of college and that I can find out more by contacting the Financial Aid office.

Type your full name as it appears on the application in lieu of electronic signature.

 

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