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Continue By submitting this form, I authorize and agree that a representative of Fortis can contact me by phone and/or SMS text messaging at the telephone number provided by me. I understand that the call or text may include advertising or telemarketing messages using an automated telephone dialing system, or an artificial or pre-recorded voice or text message. Data and text message rates may apply. I understand that my agreement above is not required before I may purchase any educational programs or services. Calls may be recorded for quality assurance purposes. * Required Field I have graduated from high school. Yes No If Yes, Month/Year / I am planning to graduate from high school. Yes No If Yes, Month/Year / Name of high school City State Name As It Appears I have received a GED certificate. Yes No If Yes, Month/Year / I am expecting to receive a GED certificate. Yes No If Yes, Month/Year / Have you applied to THIS institution before? Yes No If yes, for which year? Have you attended college before? Yes No If you have attended college, approximately how long did you attend? Less than 1 year 1-2 years 2-3 years 3-4 years Degree received? Yes No Extracurricular Activities (such as community or school involvement) Back Continue By submitting this form, I authorize and agree that a representative of Fortis can contact me by phone and/or SMS text messaging at the telephone number provided by me. I understand that the call or text may include advertising or telemarketing messages using an automated telephone dialing system, or an artificial or pre-recorded voice or text message. Data and text message rates may apply. I understand that my agreement above is not required before I may purchase any educational programs or services. Calls may be recorded for quality assurance purposes. * Required Field Current Employer Duties Position Indicate the number of hours you currently work per week Have you set money aside for your education? Yes No Back Continue By submitting this form, I authorize and agree that a representative of Fortis can contact me by phone and/or SMS text messaging at the telephone number provided by me. I understand that the call or text may include advertising or telemarketing messages using an automated telephone dialing system, or an artificial or pre-recorded voice or text message. Data and text message rates may apply. I understand that my agreement above is not required before I may purchase any educational programs or services. Calls may be recorded for quality assurance purposes. * Required Field Date of Birth / / Gender Male Female What are you hoping to achieve with your education from Fortis? Are you a U.S. citizen? Yes No How did you hear about Fortis? Choose One Television Radio Newspaper Internet Brochure Referred by a friend How quickly are you looking to enroll? Back Apply Now By submitting this form, I authorize and agree that a representative of Fortis can contact me by phone and/or SMS text messaging at the telephone number provided by me. I understand that the call or text may include advertising or telemarketing messages using an automated telephone dialing system, or an artificial or pre-recorded voice or text message. Data and text message rates may apply. I understand that my agreement above is not required before I may purchase any educational programs or services. Calls may be recorded for quality assurance purposes.