Apply Online – Gandhi Health Care

Applicant Information

Program of Choice

Anticipated Start Date

First Name

Last Name

Phone/Mobile

SSN

Date of Birth

Gender

Male

Female

Others

# of Dependents

Current Address

Address Line 1

Address Line 2

City

State

Zip Code

Proof of identity (e.g. State Photo ID, Passport etc.) If you would prefere to bring this into the school you are welcomed to do so.

Choose File

Emergency Contact

Name of a person not residing with you

Relationship

Phone/Mobile

Address

City

State

Zip Code

Educational Background

High School Name

School Address

Years Attended

Last Grade Completed

Graduation Date

Did you receive a GED?

Yes

Diploma Type

Years Obtained

High School Transcripts

Choose File

College

School Address

Years Attended

Graduation Date

Trade / Business School

School Address

Years Attended

Graduation Date

Work Experience

Current Employer

Job Title

Phone/Mobile

Previous Employer

Job Title

Phone/Mobile

Previous Employer

Job Title

Phone/Mobile

Ambition Evaluation

Do you have a stable internet connection ?

Yes

Do you have a functioning Desktop or Laptop Computer ?

Yes

Do you have any medical or physical limitations that would in any way prevent you from completing school or succeeding in your new career?

Yes

Are you willing to use public transportation if necessary?

Yes

Will your family in any way prevent you from completing school and beginning a new career?

Yes

Does your family know you are here today and are they supportive?

Yes

Will your children in any way prevent you from completing school and beginning a new career?

Yes

Do you have two forms of legal identification?

Yes

Would you be willing to travel within 30 minutes commuting distance to get a job?

Yes

If your application is accepted today are you confident that you would have enough self-discipline to stick to a regular schedule of classes and actively seek employment upon graduation?

Yes

Have you set aside funds for your education?

Yes

I certify that the information indicated on this application is correct?

Yes

How did you hear about us?

Registration Fee

Registration Fee + Online Processing Fee: $51.90

No payment items has been selected yet

Apply Online Today

Applicant Information

Emergency Contact

Educational Background

Work Experience

Ambition Evaluation