| Personal Information *(Required Information)
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*First(Given) Name: |
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*Last(Family) Name: |
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Middle Initial:
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| Ohter names which may appear on credentials: |
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*Last Name: |
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*First Name: |
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*Address: |
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Apartment No. |
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*City: |
*State:
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*Zip/Postal Code: |
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Work Phone: |
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*Home Phone: |
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Email: |
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U.S.Social Security Number: |
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Date of Birth(mm/dd/yy): |
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Place of Birth: |
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City: |
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Country:
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| Please check one of the following options below and provide the information requested |
US Citizen
US Permanent Resident Alien Number : A-
International Student
Check one of the following :
F-1 Transfer
Change of Status
Other
How did you hear about STTS
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Education History
High School |
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Name of School: |
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| Address: |
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| City: |
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| State: |
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| Zip/Postal Code: |
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| Country: |
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| Attendance dates: |
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to
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| Did you graduate? |
yes
no
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| If yes, Indicate name of diploma received: |
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| GED |
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Name of State Awarding GED: |
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| Name of Testing Center: |
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| Location (Borough or City): |
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| Testing Date (Month/Year): |
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| Diploma Number: |
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| College/Post-Secondary |
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Name of School: |
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| Address: |
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| City: |
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| State: |
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| Zip/Postal Code: |
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| Country: |
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| Attendance dates: |
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to
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| Did you graduate? |
yes
no
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| Diploma Received: |
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Check hear if you wish to apply for transfer creadit or exemptions.
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| List additional institutions attended: |
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Have you ever attended STTS before?
yes
no |
| Are you an US Armed Forces Veteran?
yes
no
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| Do you wish to block the release of your enrollment data to the National Student Loan Clearinghouse for dissemination,other than for federal student load purposes?
yes
no
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STTS dose not discriminate on the basis of race, color, sex, marital status, age, disability or national origin.
I understand that withholding information requested on this application, giving incorrect information, or submitting
inauthentic documents may be considered falsification of my application and may result in cancellation of my application
or termination by STTS. With this is mind, I certify that all information I provided is correct and complete.
If you plan on submitting the application in person or by mail, please print and sign in the appropriate places.
Otherwise, please submit and you will be asked to sign the application when you visit the college.
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Applicat's signature
date
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| Parent/Guardian Signature (if you are under 18 years of age)
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