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First Name:
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Last Name:
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E-Mail Address:
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Mailing Address:
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City:
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State:
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Home Phone:
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What program are you most interested in?
(This list includes all programs offered.)
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B.S. Business – Business Management
B.S. Business – Human Resource Management
B.S. Business – Information Technology Management
B.S. Business – Marketing Management
B.S. Business – Finance
B.S. Business – Accounting
Master of Business Administration
MBA – Information Technology Management
MBA – Healthcare Management
B.S. in Health Informatics
B.S. in Information Technology
B.S. Information Tech.--Networks Administration
B.S. Information Tech.--Networks Design & Mgmt
B.S. in Information Technology--Security
B.S. in Information Technology--Databases
B.S. in Information Technology--Software
MBA--IT Management Emphasis
B.A. in Science (5-9)
B.A. in Mathematics (5-9 or 9-12)
B.A. in Science (5-12 Biological Science)
B.A. in Science (5-12 Chemistry)
B.A. in Science (5-12 Geosciences)
B.A. in Science (5-12 Physics)
M.A. in Teaching (K-8)
M.A. in Teaching – Science (5-9 or 9-12)
M.A. in Teaching – Mathematics (5-9 or 9-12)
M.Ed. Learning and Technology
M.Ed. Measurement and Evaluation
M.Ed. Instructional Design
M.A. in Mathematics Education (K-6, 5-9, or 5-12)
M.A. in Science Education (5-9)
M.A. in Science Education (5-12 Biological Science)
M.A. in Science Education (5-12 Chemistry)
M.A. in Science Education (5-12 Geosciences)
M.A. in Science Education (5-12 Physics)
M.S. in Special Education (PK-12)
M.S. in Educational Leadership
B.S. Health Informatics
MBA – Healthcare Management
M.S. Nursing – Education
M.S. Nursing – Leadership/Management
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What year did you graduate from high school?
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When do you plan to enroll?
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Immediately
1-3 Months
4-6 Months
7-12 Months
12+ Months
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How much time per week do you intend to commit to your online education
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21+ Hours
13-20 Hours
6-12 Hours
Less than 5
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How would you rate yourself as a self-directed learner?
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Very Good (Good at learning independently)
Average (Some past success at independent learning)
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Please Answer the Following Questions or Click "Submit" to Complete Your Request
Do you have previous academic or professional experience in your field of interest?
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Have you ever had a positive experience with online learning in the
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How would you rate your English writing abilities?
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What are your concerns and questions?
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CompT IA A+
CIW Professional
MS 70-270 Windows XP Cert
Sun Certified Associate for the Java Platform
Sun Certified Programmer for the Java Platform
CompTIA Network+
CompTIA Security+
CompTIA Project+
CIW Associates
Oracle Certified Associate (OCA)
Microsoft Certified Systems Engineer (MCSE)
Microsoft Certified Systems Administrator (MCSA)
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