Online Application

Already know what career path you would like to take? Then fill out our secure online form and you will become a student at AVMC in no time! * denotes required fields.

*Full Legal Name:
Last: First: Middle:
*Current Mailing Address:
Street: City: State: Zipcode:
*Phone Numbers:
Home: Work: Cell:
Gender:
Male Female
Date of Birth:
(MM/DD/YYYY)
*Email Address:
Major Academic Program:
Citizenship:
US. Citizen
  Non-US.Citizen
Permanent Residence
Temporary Resident
Student Visa - - - - Visa Type:
Other Status - - - - Type:
Ethnic Identity:
Asian
Black
Filipino
Hispanic
American Indian / Alaskan
Other / Non-white
Pacific Islander
White / Non-Hispanic
Unknown / Non-respondent
Enrollment Status:
First time college student
First time AVMC (transfer student)
Returning to AVMC
Is English Your
First Language?:
Yes
No
*Educational Background:
High School Graduate
1.Name of High School:
2.Date of Graduation:
3.Grade Point Average:


G.E.D.
1.Name of High School:
2.Date of Graduation:


College, universities, of other post-secondary schools attended

Institution #1 City/State Dates Attended
Type of Program No. of Credits Earned Degree or
Certificate Earned

Institution #2 City/State Dates Attended
Type of Program No. of Credits Earned Degree or
Certificate Earned
Contacts:
Fathers Name Address Phone Number
Mothers Name Address Phone Number
Spouse Name Address Phone Number
Emergency Contact:
Full Name Address Phone Number
*Do You Plan To Attend:
Day Classes
Evening Classes
Digital Approval:
I Agree to the statement below (Required to proceed):
  All information provided is true and complete to the best of my knowledge. I understand that admission to the University of Antelope Valley is contingent upon submission of one of the following: official high school transcript, official G.E.D. test scores, or Ability to Benefit test scores and satisfaction of any additional admission criteria.
 


   
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Criminal Justice Program
We’ve just added the exciting field
of Criminal Justice. Get a job in the law enforcement or judicial system here.
   
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