OC Health Career College Application
To apply online for OCH Career College's programs at our campuses, please fill in the application form below. Fill out the form carefully and ensure that the information provided is accurate to the best of your knowledge
A. Personal Information
Full Name: (*)
Please type your full name.
Email: (*)
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Phone: (*)
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Address:
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City:
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State:
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Zip:
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Gender:
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Birth Day:
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Birthplace City:
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Country:
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List current immigration status, if applicable:
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Which immigration status do you intend to hold while enrolled here?
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Citizenship:
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Country Of Citizenship:
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What race do you consider yourself to be?
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Are you a Veteran ?
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Will you be using VA Benefits, Yellow Ribbon or applying for Veteran’s assistance to help cover your tuition?
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B. Educational Information
Are you a high school graduate?
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Name of your High School where you received your High School Equivalency (HSE) or equivalent
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If no, do you have a HIGH SCHOOL Equivalency (HSE) or equivalent to a high school diploma? High School graduation date:
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C. Department Data
Have you previously enrolled at OC Health Career College?
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If yes, when? (mm/yyyy)
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Statement of Disclosure: Have you ever been charged with or convicted of any felony or misdemeanor (other than minor traffic violations) including juvenile charges, drug and alcohol offenses, deferred prosecutions / judgments, or expunged convictions?
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D. Admission Information
Program: Massage Technician. Campus: 13030 Hoover st Westminster, CA 92683 Tel:1(888)980-8999 or 714-379-5858
How did you hear about us?
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TYPE YOUR NAME: (Last and First Name)
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Signature:
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Date:
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By agree and sign above, I consent to receive calls and/or text messages* by a college representative with information for educational opportunities at the number(s) provided above. I understand calls may be initiated by an automated telephone dialing system. I need not grant this consent to receive information or to be eligible to enroll with OCHC. I also understand that if I no longer wish to receive text messages from OCHC, I can text back "Stop" at any time to unsubscribe from the service. (*Standard rates may apply.) Security and Fire Safety Information - Annual Security Report: OC Health Career College is committed to partnering with students, faculty and associates to create a safe campus community. Information regarding campus security as well as personal and fire safety, that covers topics such as Campus Security Authorities; disciplinary procedures; and crime prevention, reporting, and statistics for the most recent three-year period, is available at americancareercollege.edu/safety-security.html. You may also request a paper copy of the report by sending your request to OCHCcollege@gmail.com