Please provide the following information:                                                                         

Name
Street Address
P.O. Box
City
State/Province
Zip/Postal Code
Home Phone	example (000) 000-0000
Work Phone	example (000) 000-0000
Cell Phone	example (000) 000-0000
E-mail

Date of Birth	example mm/dd/yyyy
Sex	Male Female

Social Security Number(Optional)	example 000-00-0000
Father's Name
Mother's Name
Spouse's Name
With whom do you reside?

I wish to enroll for

Fall (Sept) Winter (Dec)

Spring (Mar) Summer (June)

Year planning to start

 

---

College(s) Attended

College Attended	Jamestown Business College
Type of Degree Earned
Year Earned
Other Colleges Attended
Other College Attended
Degree Earned	Yes  No
If yes, type of Degree
Date Earned
Other College Attended
Degree Earned	YesNo
If yes, type of Degree
Date Earned
High School Attended
High School
Year of Graduation
Employment History
Present Employer
Title/Occupation

Length of Service
Past Employer
Title/Occupation
Dates of Service	example mm/yy - mm/yy
Past Employer
Title/Occupation
Dates of Service	example mm/yy - mm/yy

Conditions of Enrollment:

All policies of administration listed in the Jamestown Business College catalog, handbook, and compliance information, together with the following conditions, are understood to be accepted at the time of enrollment by the applicant and the applicant's parents or guardian. Tuition paid in advance will be refunded, and unpaid tuition will accrue, according to the refund policy in effect at the time of withdrawal from the college. Tuition is payable three weeks prior to the first day of each term.  Textbooks, fees, and supplies are not included in the tuition charges.

 

I agree that any pictures taken by or for the college may be reproduced for publicity purposes. 

 

Your application will be processed once your $50.00 application fee has been received

 

Privacy Policy

 

 

 

 

I certify that all information in this application is true and correct and without material omissions.  I understand that any incorrect, incomplete, or false information given by me is sufficient cause to void this application and/or terminate my enrollment.