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Cyber Student Verification
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To ensure the timely processing of your form, please enter all of the necessary information.
* First Name
* Last Name
Student ID (leave blank if you do not have your ID # issued to you yet)
* Date of Birth (mm/dd/yyyy)
* Email Address
* Current Military Status
select one...
Non Military
Active Duty
National Guard
Reserve
Veteran
* What program are you enrolling in?
Cybersecurity & Computer Network AAS
Cybersecurity & Information Technology BAS
* Student type
Degree-seeking with Â鶹´«Ã½ (Students who wish to complete an Associate in Applied Science are considered Degree-seeking students)
Degree-seeking with Â鶹´«Ã½ (Students who wish to complete a Bachelor of Applied Science are considered Degree-seeking students)
Non-Degree Seeking with Â鶹´«Ã½ (Students are not eligible for financial aid, military benefits, federal student loans or Â鶹´«Ã½ scholarships if they are non-degree seeking students.)(Students who are taking courses as a part of their companies training requirements, or to complete NERC CEH's or not part of a degree curriculum are considered Non-Degree Seeking students.)
* Highest level of education (choose one)
select one...
GED
High School
Some college
Certificate program
AA / AAS / AS
BA / BS
Masters or above
* Employment status
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Employed in field of study
Employed outside field of study
Unemployed
Military
Not shared
* Name of current employer (if unemployed, enter "NA")
* Current position title (if unemployed, enter "NA")
* How did you hear about us?
Â鶹´«Ã½ rep/Â鶹´«Ã½ tour/campus visit
Conference/seminar
EPCE
Family member/friend
High school teacher/counselor or career fair
Internet/online advertisement
Military (Air Force, Navy, Education Officer, etc.)
Print advertising
Radio
Referral from previous/current Â鶹´«Ã½ student
Returning Â鶹´«Ã½ student
Social media
TV (advertisement, news story, etc.)
Work/employment/coworker