Single Course Application | American College of Healthcare Sciences

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About Us
Academics
Admissions
Student Services
Alumni
Military Students

About Us
Academics
Admissions
Student Services
Alumni
Military Students

Menu

About Us
Academics
Admissions
Student Services
Alumni
Military Students

Single Course Application

Before submitting this form, please review the following documents:

Refund Policy
Technology Requirements
Terms and Conditions
Program Catalog

Thank you for you interest in taking a single course at ACHS. Keep in mind the credits can be applied to a program later! Follow up with your admissions advisor if you’re interested in building on what you start with this single course!

- Step 1 of 3

Name *

First

Last

Phone Number

If international, please include country code.

Email *

Birth date *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have a different shipping address? *

Yes
No

Shipping Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What name(s) will your transcripts arrive under? *

(Please list any former name(s) or maiden name(s) that we may see on your transcripts or other application documents sent to ACHS.)

What is your highest level of education? *

Prior Colleges Attended *

Please list all prior Colleges you've attended for admission eligibility and transfer of credit evaluation; include ACHS if you are a previous student or graduate. List N/A for none.

What course would you like to take? *

Please review the Course Schedule linked on the left to confirm the course name and number.

When do you plan to start school? *

Demographic Information

This information will be used in aggregate only to comply with federal reporting requirements for all Title IV participating institutions.

Gender

If you would like to self-identify your gender identity or gender expression, you may provide it here.

Ethnicity

Select one or more of the following races:

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Are you an active duty service member, family member, or veteran of the U.S. Military? *

Do you have Military or Employer Tuition Assistance? *

Account Security Questions

What is your mother's maiden name? *

What city were you born in? *

What was the name of your first pet? *

Read the ACHS Refund Policy (linked at left) *

I have read and agree to the ACHS Refund Policy

Read the ACHS Technology Requirements (linked at left) *

I have read and agree to the ACHS Technology Requirements

Terms Agreement *

I have read and agree to the ACHS terms & conditions

In addition to the Terms and Conditions, by submitting this application, I understand that I will be required to successfully complete the ACHS Student Orientation prior to the start of my first semester. I understand that if I do not successfully complete the Student Orientation, I will not be eligible for admission to ACHS. Note: You will be guided to register for your student orientation once your admissions has been accepted and your registration confirmed. View the terms and conditions linked on the left).

Acknowledgement & Signature *

By electronically signing my full name below, I acknowledge that I have received and read the ACHS Program Catalog (available to download linked on left) and agree to the terms and conditions outlined in the Program Catalog and on this enrollment application.

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