Lakewood College Free Sample Course
Thank you for deciding to complete your application with Lakewood College. Once you have answered the questions below, a representative will contact you within 24 hours with your approval status and further instructions.
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Basic Information
Prefix
*
First Name:
*
Last Name
*
Street Address
Address Line 2
*
City
*
State
*
Zip Code
*
Day Phone Number
Evening Phone Number
*
E-Mail Address
Background Questions
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What is your status or spouse's status?
Active Duty Military
Veteran
Military Spouse
*
What is your spouse's pay grade:
E-1
E-2
E-3
E-4
E-5
E-6
E-7
E-8
E-9
W-1
W-2
W-3
W-4
W-5
O-1
O-2
O-3
O-4
O-5
O-6
O-7
O-8
O-9
O-10
N/A
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Name of Military Branch
Army
Navy
Marines
Air Force
Coast Guard
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Have you received your
Certificate of Eligibility
yet?
Yes
No
Program of Choice
I am interested in the following program (s):
Both the Mediation and Paralegal Diploma Program (Recommended)
Mediation Certificate Program
Paralegal Diploma Program
Associate Degree Program-Paralegal Studies
Associate Degree Program-Business Management
Pharmacy Technician
Other Information
*
Once you are approved, when will you be able to start your program?
Immediately
Within 1-2 weeks
Within 3-4 weeks
Not sure
*
How did you hear about us?
Bookoo
Counselor/teacher
Craigslist
Family/friend
Flyer
Internet
MYCAA Program
Poster
DETC
Email Ad
Magazine Ad
Other
Postcard
School Representative
1-source-conflict-resolution.com
AVOTEC Program
Google Search Engine
How to Make it Big Resolving Disputes
Internet
mediate.com
Poster
TV Ad
Yahoo Search Engine
Army VOTEC
Blog
Book Purchase
DETC
Elearners.com
Email Ad
Magazine Ad
Newspaper Ad
Other
Postcard
Search Engine
School Representative
TV Commercial
What is the code on your postcard? (if applicable)
*
Please state specifically how you heard about us.
*
Indicates Response Required