Please select the category of student you fall under:

  • Dual Enrolled or Early Middle College – taking classes while still in high school
  • First-time college – first college experience after high school
  • Returning – previous Kirtland student (previously dual-enrolled, please choose First-time college)
  • Transfer – attended college elsewhere, now plan to earn a degree/certificate from Kirtland
  • Guest – attend elsewhere, transferring any credits earned back to my home college
  • Non-degree seeking - personal interest, sponsored by my employer, or other reason.

Gender

  • Female
  • Male
  • Not Declared

Citizenship

  • Citizen of US
  • Resident Alien

Is mailing address different from above?

  • Yes
  • No

Ethnicity

  • Hispanic/Latino
  • Not Hispanic/Latino
  • Unreported

Race

  • American Indian or Alaska Native
  • Asian
  • Black or African American
  • Native Hawaiian or Other Pacific Islander
  • White

Did you / will you graduate from High School?

  • Yes
  • No

Have you attended an institution other than Kirtland?

  • Yes
  • No
Previous Institution Name State

Please select the type of classes you are interested in

  • apprenticeship program sponsored through my employer
  • personal interest
  • pursuing a degree elsewhere
  • other reasons

Are you registered for Selective Service?

  • Exempt
  • Registered
  • Not Registered

Are you currently in the National Guard, Reserves or active military duty?

  • Yes
  • No

Are you a US Veteran?

  • Yes
  • No

Are you the spouse or dependent of a US Veteran?

  • Yes
  • No

Are you planning to utilize a Veteran / Military benefit?

  • Yes
  • No