Electronic Application

First Name

Middle Name

Last Name

Degree you will pursue

Anticipated Start Term

Anticipated Start Year

Gender

Date of Birth

Social Security Number

Citizenship Status

Have you visited our website?

Have you taken either?

ACTSATI have not tested.

What are your goals today?

EnrollInfo gatheringTalk with a counselor/TourOther

If other, please specify.

Have you ever applied for Financial Aid?

Will you need Financial Aid?

What would keep you from attending Ranken?

If other, please specify.

How did you hear about us?

If other please specify.

What additional information would you like while visiting Ranken?

Are you of Hispanic or Latino Descent?

Ethnicity

Street Address

City

State

Zip Code

Country

Email Address

Home Phone

Cell Phone

May We Text You?

Emergency Contact Name

Emergency Contact Phone

What Ranken location do you plan on attending?

What Program are you interested in?

Do you plan on taking day or evening classes?

Are you a military service member or veteran?

Are you interested in using veteran benefits?

High School Attended

Are you currently in high school?

High school diploma or GED date?

Have you attended college before?

Last college or university attended