Application for Enrollment
Please follow the steps to complete your application and we will contact you.
*Required
Campus:
Main Campus DEC
*First Name:
Middle Name:
*Last Name:
*Email:
*Phone:
(Format: xxx-xxx-xxxx)
*Date Of Birth:
Month
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
Day
01
02
03
04
05
06
07
08
09
10
11
12
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22
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24
25
26
27
28
29
30
31
Year
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
*Citizenship:
US Citizen
Eligible Non-Citizen
International/Non-Citizen
Non-Resident Alien
Permanent Resident
*State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
*Area Of Interest:
Select campus and state.
*Desired Start Date:
*Military Status
None
Active Duty
Civilian
Disabled
National Guard
Reserves
Veteran
*Military Branch
Air Force
Army
Coast Guard
Marine Corps
National Guard
Navy
Space Force
I authorize Douglas Education Center to request my Joint Services Transcript (JST) on my behalf for the purpose of transfer credit evaluation.
*How Did You Hear About Us?
Added Lead
BSD
Billboard: General
Billboard: Truck
Bing
CDL Life
Campus Management
Direct
Duckduckgo
Facebook
FacebookFacebook
FacebookInstagram
Friend
Google
GoogleBing
GoogleGoogle
High School
Instagram
Internal
Internal Lead
Internet: Banner Ads
Internet: Beauty School Directory
Internet: General
Internet: Online Directory
Internet: Search (Google)
Magazine: Fangoria
Other
Recruiting: College Fair
Recruiting: Dads Matter
Recruiting: General
Recruiting: High School - CXT
Recruiting: High School Presentation
Recruiting: NACAC Pittsburgh
Recruiting: Open House
Recruiting: Steel City Comic Con
Referral: CareerLink Donora
Referral: CareerLink Greensburg
Referral: CareerLink Uniontown
Referral: CareerLink Washington
Referral: DEC Student / Graduate
Referral: Friend / Family
Referral: General
Snapchat
Social Media: Facebook
Social Media: Instagram
Social Media: YouTube
TV: Face OffTV: General
TV: Smoke & Mirrors
Vendor Post
Website
Yahoo
YouTube
YoutubeYouTube
googleDirect
How Do You Plan To Fund Your Education?
Check all that apply and order by importance.
Agency
1
2
3
4
5
6
7
8
9
10
DV
1
2
3
4
5
6
7
8
9
10
Federal Student Aid
1
2
3
4
5
6
7
8
9
10
Military Tuition Assistance
1
2
3
4
5
6
7
8
9
10
VA Education Benefits
1
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3
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5
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8
9
10
Scholarship
1
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3
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5
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8
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10
Self Funded
1
2
3
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5
6
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8
9
10
3rd Party/Employer
1
2
3
4
5
6
7
8
9
10
E2B
1
2
3
4
5
6
7
8
9
10
Other/Unsure
1
2
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5
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9
10
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