ATA College Application

Name*
First Middle Last
Email*
Enter Email Confirm Email
Cell Phone*
Other Phone
Consent*
I agree to the privacy policy.*
I authorize ATA College to contact me by phone, text, or email using the contact information provided above. Please be sure to review our privacy policy prior to continuing.

Address*
Street Address Address Line 2 City State ZIP Code
Soc. Sec. #:*
Driver License #:
Date of Birth*
Month
Day
Year
Gender*
Are you a U.S. Veteran?*
Martial Status*
Family Income
Dependents
Are you a U.S. Citizen?*
- Yes
- No
Permanent Resident*
Permanent Resident #
Documents: Driver's License & SSN Card
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Max. file size: 32 MB.
While not required at this time, providing these documents now will expedite the enrollment process.

Optional Questions
The information collected here is used to assist the U.S. Department of Education and all post-secondary universities which use Financial Aid. Learn more at https://nces.ed.gov/ipeds/
Ethnicity
Are you Hispanic or Latino?
- Yes
- No
Race
- American Indian or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
- Two or more Races
Choose all that apply.
American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American: A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Referrals
Please provide three people you know who may benefit from our college. Maybe a friend or family member you want to join you on this new path?
Name
First Last
Reference Phone
Email
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First Last
Reference Phone
Email
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Postsecondary Education