American International College

Interest Page 3.0

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Please fill out the fields below and submit the form. Some information is required and marked with asterisks. You will not be able to submit the form without filling the required fields. Please make sure that Email and Verify Email should match with each other.

Tell Us About Yourself

Full Name

First Name *

Middle Name

Last Name *

Preferred Name

Gender

DOB *

How Can We Contact You?

Country

Address Line 1 *

Address Line 2

City *

State *

Zip *

Phone *

- -

Phone Type

International Telephone Number

E-mail *

Verify E-mail

Enrollment Information

I am a *

Academic Program of Interest *

Song

Are you interested in Athletics at AIC?

No
Yes

How did you hear about AIC?

AIC Admissions CounselorHigh School Teacher
AIC AlumniHigh School Visit
AIC Faculty/StaffIndependent College Counselor
AIC Current StudentNewspaper - Springfield Republican
AIC CoachRelative
Billboard AdPhone Call
Coach, Not AICPrinceton Review
collegeboard.comPrivate Colleges and Universities
College FairRadio Ad
College/University ProfessorSocial Media
Email/LetterTelevision Ad
EmployerTrade Journal
FriendVeteran Center
Google SearchOther
High School Counselor

When do you hope to start?

Entry Term *

High School Information

High School Name

High School City

High School State

HS1GradDate

College Information (if applicable)

College Name

College City

College State

Athletics

Sports of Interest

Baseball (M)
Basketball (M/W)
Cheerleading
Cross Country (M/W)
Field Hockey (W)
Football (M)
Golf (M)
Ice Hockey (M)
Lacrosse (M/W)
Soccer (M/W)
Softball (W)
Tennis (M/W)
Track and Field (M/W)
Volleyball (W)
Wrestling (M)

High School Coach First Name

High School Coach Last Name

High School Coach Email

Are you being recruited by an AIC coach?

Yes
No

Login Information

Password *

Verify Password

Hidden Attributes

Inquiry Date

Hidden Attributes

High School Code

Find your code here.

High School Address1

High School Address2

High School Zip

College Code

Find your code here.

College Zip

AMERICAN INTERNATIONAL COLLEGE | 1000 State Street | Springfield MA 01109 | 800.242.3142 | TRANSFORMING LIVES SINCE 1885