Request More Information

Request More Information Form

---

If you see this don't fill out this input box.

About You

First Namerequired

Last Namerequired

Email Addressrequired

Phone Numberrequired

Okay to text?

YesNo

Date of Birth

High School you attended

Address

Street Addressrequired

Street Address Line 2

Cityrequired

Staterequired

Ziprequired

Countryrequired

Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Costa Rica Cote d"Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Federated States of Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts & Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Yemen Zambia Zimbabwe

Choose two preferred methods of communicationrequired

EmailPhone callText messageMail

How can we assist you?

Campus of Interest

Please Select Kenai River Homer Seward

Anticipated Start Termrequired

Please Select Fall 2021 Spring 2022 Summer 2022 Fall 2022 Spring 2023 Other

Select the semester you hope to begin classes. (Fall = August start, Spring = January start, Summer = May start)

College Experience

Please Select Currently in high school Attending college or university now Attended college or university in the past Have not attended college or university

Academic Interest (You may select more than one)

AccountingAlaska Native LanguagesAnthropologyBiologyBusinessCertified Nurse Aide (CNA) PreparationChemistryCommunicationCorrectionsEarly Childhood DevelopmentElementary EducationEnglishFirefighter | PreparationGeneral Studies, AAHistoryHuman ServicesInstrumentationKenai River Guide AcademyMarine BiologyMathematicsMedical Imaging/Radiologic TechnologyNatural SciencesNursingParamedicProcess TechnologyPsychologyWelding TechnologyUndecidedOther (Please Specify)

Other Academic Interest(s)

I would like assistance with (Please select all that apply)

Admissions/RegistrationAdvising/Degree Planning InfoFinancial Aid/ScholarshipsGED Instruction and TestingVeterans Education BenefitsAlaska Native and Rural Student ServicesDisability Support ServicesStudent EmploymentOther (Please Specify)

Other area(s) that you need assistance with

Any specific questions you would like to ask at this time?

How did you hear about us?

Submit  Cancel