APPLY NOW *Please complete form so an admissions specialist can reach out to you to provide additional information. IDEA-U Application Have you spoken to an IDEA-U Admissions Director or attended an info session?YesNo Contact ID (HIDDEN) I want to start college on:Please select... Monday, September 27, 2021 Monday, November 22, 2021 Monday, January 31, 2022 Monday, April 4, 2022 Monday, May 30, 2022 Monday, August 1, 2022 Monday, October 3, 2022 First Name Last Name Preferred First Name Date of Birth (MM/DD/YYYY) Phone Email Address Line 1 Address Line 2 City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau Postal Code Which Idea-U Campus would you like to attend?Please select... Rio Grande Valley Non - Rio Grande Valley Do you have a High School Diploma or GED?YesNo High School or GED Program HS Graduation / GED Completion Year High School/GED Program Name High School/ GED Program Address Address Line 1 Address Line 2 City StatePlease select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Island Northern Mariana Islands Guam American Samoa Palau Postal Code Have you attended college in the past?YesNo Do you currently have a job or internship?YesNo Education and Career Goals Write two paragraphs to answer the following: What are your education and career goals? How will IDEA-U help you achieve them? PLEASE NOTE: Your student application will be considered incomplete if your essay does not meet the 250 word minimum What Degree would you like to pursue?Please select... Certificate in Healthcare Management Fundamentals AA General Studies w/conc in Business AA General Studies w/conc Transform Customer Exp AA Healthcare Management BA Communications w/conc in Business BA Communications w/conc in Healthcare BA Healthcare Management w/conc in Communications BA Healthcare Management w/conc in Global Perspective BA Management w/conc in Logistics and Operations BA Management w/conc in Public Administration BA Management w/conc in Insurance Services How did you hear about us?Please select... Friend / Colleague Info Session / Open House Website Social Media Email IDEA-U Recruiter Post Card / Flyer Other, please specify If you selected other, please specify: I am a:U.S. Citizen or Legal Permanent ResidentDACA RecipientTemporary Protected Status RecipientUndocumented/DREAMer (No DACA) IDEA-U's Terms of Service I agree to IDEA-U's Terms of ServiceI certify that all the information above is to the best of my knowledge and belief is true, correct, and complete. I understand that submission of my application does not guarantee admission to IDEA-U’s college support program and that evaluation is based on selective criteria and availability. I authorize IDEA-U to collect personal and academic information from me and grant IDEA-U permission to use this information to evaluate and improve its program and to report this information to its funders, partners, and supporters for research and educational purposes and for other purposes related to IDEA-U’s mission. Contact Information
