Please select the category of student you are applying to become:
How did you learn about Kirtland?
How did you learn about Kirtland? (currently hidden)
Maiden name (if different from Last Name)
Preferred first name (nickname)
Mobile phone number
Home phone number
Social Security Number (XXX-XX-XXXX)
Date of birth
County of residence
You chose Resident Alien - please select your home country
Is mailing address different from above?
Did you / will you graduate from High School?
Please select your high school
In what year did you / will you graduate?
Please understand that without a high school diploma or GED, you do not qualify for federal financial aid. However, we are happy to have you as a student. Kirtland offers GED testing, if you are interested. (Here is a link to Testing Center)
Did you earn a GED?
GED Test Year
Have you attended an institution other than Kirtland?
Previous Institution Name
Previously Attended Institutions
Which semester do you plan to begin at Kirtland?
Please select the Kirtland program you plan to enroll in
Please select the type of classes you are interested in
Please select the name of your employer
Select type of apprenticeship program
Please download the application from the link below. You will need to return to this page and click continue.
Link to Guest Application.
Are you registered for Selective Service?
Are you currently in the National Guard, Reserves or active military duty?
Are you a US Veteran?
What is your start date in the Armed Forces?
What is your end date?
Are you the spouse or dependent of a US Veteran?
Are you planning to utilize a Veteran / Military benefit?
Please select the benefit you are planning to use
By submitting this application, I am also granting permission for Kirtland to use my image for marketing, communication, and advertising/promotional purposes. If I do not want my image used in these materials, I must state my objection to the photographer/videographer during the shoot and/or in writing, or submit my request to the Director of Communications and Marketing.
hdn - Div_cde=UG Undergraduate
hdn - Home Address Code = *LHP
hdn - Mailing Address Code = PLCL
hdn - Candidate.source_5 = Online
hdn - Load_P_F = Full Time
hdn - Stage=APP
hdn - Loca_cde = GRAY