Please select Program:
Associate of Science in Emergency Health and Safety
Associate of Science in Magnetic Resonance Imaging Technology

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Optional Information
I would describe myself as (please check one):
American Indian Black, African American Latino (including Puerto Rican)
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The University of Northern California admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to its students at the school. It does not discriminate on the basis of race, color, national or ethnic origin in the administering of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

EDUCATIONAL DATA
List chronologically all high schools, colleges and universities that you have attended regardless of duration.
Contact each institution and request that an official academic record be sent to the Undergraduate College of the University of Northern California.
name of institution:

location of institution:

dates attended:

type of degree:

date of  degree:


name of institution:

location of institution:

dates attended:

type of degree:

date of  degree:


name of institution:

location of institution:

dates attended:

type of degree:

date of  degree:

EMPLOYMENT DATA
Jobs held during the last three years. List most recent years first.
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CERTIFICATION
I certify that to the best of my knowledge all information given on this application is correct and complete, and I understand that any omission or misinformation concerning enrollment in other colleges or universities may void my admission or result in dismissal.
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