Online Application for Pacific College

All application information is confidential. All application materials, once submitted, are the property of Pacific College of Health and Science and cannot be returned to the applicant. 

1 Personal info
2 EDUCATION
3 Emergency info
4 Demographic
5 Payment
Select the campus you're applying to
Term start

Personal Information

Your Address
Gender
Citizenship
US Citizen
Do you have or will you apply for a student (F-1 or M-1) Visa?
The 1-20 should be sent to the address the above
What resource(s) will you use to fund your education?
Sponsorship
Will you be bringing your spouse and/or children?
Have you applied previously to Pacific College?
Prior Educations

Please chronologically list your high school and all colleges and universities attended

Select your highest level of education
In case of emergency, notify:
Demographic info
Racial/ Ethnicity status
Have you ever been convicted or a felony or a first degree misdemeanor?

I hereby make Application for Admission to Pacific College of Health and Science, and certify that all information given on this application is true. 

I authorize Pacific College to investigate all statements on my application and to request a consumer credit report.


By signing this application electronically, I certify under penalty of perjury that my selections are correct and complete to the best of my knowledge.

I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

Thank you for your service! Your application fee is waived.

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