Financial Aid Questionnaire
Complete the form below, and an admissions representative will provide you with more information on financial aid programs. Questions? Call us directly to get immediate assistance.
Email
Campus
...
Columbia Campus (Closed)
St. Louis Campus
Arnold Campus
First Name
Middle Name
Last Name
Maiden Name
Home Phone
Cell Phone
What is your yearly income?
...
$0 - $ 10,000
$10,001 - $20,000
$20,001 - $30,000
$30,001 and up
Are you single or married?
...
Married
Single or Legally Separated
Are you a Missouri resident?
Yes
No
Not Selected
Do you have a bachelor's degree?
Yes
No
Not Selected
Do you have a bachelor's degree?
Have you completed high school diploma, a certificate training program or Associate's degree in the past two years?
Yes
No
Not Selected
Do you receive food stamps (SNAP)?
Yes
No
Not Selected
Do you receive TANF?
Yes
No
Not Selected
Do you receive disability benefits?
Yes
No
Not Selected
If yes, refer to Vocational Rehabilitation
What is your gender?
...
Female
Male
Non-Binary
Prefer Not To Say
Are you currently unemployed?
Yes
No
Not Selected
Do you have any other barrier to employment?
Yes
No
Not Selected
If yes, give details in
If yes, please explain your answer
Program of Interest
...
Adult & Pediatric First Aid /CPR/ AED - Blended Learning
Adult First Aid /CPR/ AED - Blended Learning
BLS CPR
Comprehensive Medical Assistant
IV Certification Workshop
LPN Program Waiting List
Patient Care Technician
Clinical Medical Assistant
EKG
Phlebotomy Technician
