APPLICANT INFORMATION: Applicant information such as contact, personal and admissions information.

Name as it appears on your passport
Family/Surname
First/Given

Other



Address Information
Home Address
Apt/PO Box

City

Postal Code
Country
 (Changing this will refresh the page)




U.S. Address (if any)
Apt/PO Box

City

State / Province

Postal Code



Contact Information
Email Address

Phone Country Code
  
Phone Number
 (while attending Jacksonville college)

Country




U.S. Phone (if any) Area Code
Phone Number



Birth Date and Citizenship Information
Date of Birth
  (mm/dd/yyyy)

Country of citizenship



Admissions Information
Term to begin study

Degree Code
 Degree Code 


    required and     optional