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Admissions Application
Program Information
Contact Information
Personal Information
Education Summary
Employment
Disclosure
Required
is required
I hereby certify that the information provided is true and accurate to the best of my knowledge. I understand that the submission of any false information may result in dismissal from the college. In addition, I understand that upon my enrollment, I have to abide by the policies and regulations of AIMS Education.
is Required
First Name
Required
Middle Name
Required
Last Name
Required
Email Address
Required
Social Security Number
Confirm Social Security Number
Date of Birth
Required
Sex
Required
-- choose one --
Female
Male
Gender Identity
Required
-- choose one --
Female
Male
X
Are you Hispanic or Latino?
Required
-- choose one --
NO
YES
Select one or more of the following races:
Required
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Citizenship Status
Required
-- choose one --
Nonresident
Resident Alien
Unknown
US Citizen
Marital Status
Required
-- choose one --
Divorced
Married
Separated
Single
By providing your mobile number and checking this box, you agree to receive text messages from us. Standard messaging rates may apply. You can opt out at any time by replying STOP to any message you receive.
Required
is Required
Home Address & Phone Number(s)
Country
Required
-- choose one --
UNITED STATES
CANADA
AFGHANISTAN
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANTIGUA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA
BOTSWANA
BRAZIL
BRUNEI
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CAPE VERDE
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
COLOMBIA
COMOROS
CONGO
COSTA RICA
COTE D"LVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
ENGLAND
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
FRENCH ANTILLES
FRENCH GUIANA
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GREECE
GRENADA
GUADELOUPE
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KUWAIT
KYRGSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORTH KOREA
NORTHERN IRELAND
NORWAY
OMAN
PAKISTAN
PALAU
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
QATAR
REPUBLIC OF CHINA
ROMANIA
RUSSIA
RWANDA
SAN MARINO
SAO TOME
SAUDI ARABIA
SCOTLAND
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEON
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH KOREA
SPAIN
SRI LANKA
ST. KITTS
ST. LUCIA
ST. NEVIS
ST. VINCENT
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKSTAN
TANZANIA
THAILAND
THE GRENADINES
TOBAGO
TOGO
TONGA
TRINIDAD
TUNISIA
TURKEY
TURKMENISTAN
TUVALU
UAE
UGANDA
UKRAINE
UNITED KINGDOM
UPPER VOLTA
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY
VENEZUELA
VIETNAM
WALES
WEST AFRICA
West Indies
WESTERN SAMOA
YEMEN
ZAMBIA
ZIMBABWE
Street 1
Required
Street 2
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City
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County
Required
-- choose one --
Atlantic county
Bergen county
Burlington county
Camden county
Cape May county
Cumberland County
Essex County
Foreign Country
Gloucester County
Hudson County
Hunterdon County
Mercer County
Middlesex County
Monmouth County
Morris County
N.J. County
Ocean County
Out-of-State
Passaic County
Residence Unknown
Salem County
Somerset County
Sussex County
Union County
Unknown
Warren County
State
Required
-- choose one --
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Zip Code
Required
Zip Code Extension
Province
Required
Postal Code
Required
Phone 2
Required
Phone 2 Area Code
Phone 2 Exchange
Phone 2 Number
Phone 2 Extension
Ext:
Phone 1
Required
Phone 1 Area Code
Phone 1 Exchange
Phone 1 Number
Phone 1 Extension
Ext:
Phone 1
Required
Phone 1 Extension
Ext:
Employer's Phone
Required
Employer's Phone Area Code
Employer's Phone Exchange
Employer's Phone Number
Employer's Phone Extension
Ext:
Employer's Phone
Required
Employer's Phone Extension
Ext:
is Required
For highest level of education, please select "College" if you attended any of the following after high school graduation: community college, university, vocational school, technical school, or career school.
Please type N/A if you are unemployed.
Congratulations on taking the first step toward your education at AIMS Education College of Health Sciences! Please complete all required fields before submitting your application. This application is intended for domestic students only.
Emergency Contact
First Name
Required
Last Name
Required
Email
Required
Phone
Required
Phone Area Code
Phone Exchange
Phone Number
Phone Extension
Ext:
Relationship
Required
-- choose one --
Aunt
Boyfriend
Brother
Daughter
Father
Girlfriend
Guardian
Mother
Parent
Sister
Son
Spouse
Uncle
is Required
Highest Level of Education
Required
-- choose one --
College
GED
High School
High School / GED Graduation Month
Required
-- choose one --
January
February
March
April
May
June
July
August
September
October
November
December
High School / GED Graduation Year
Required
-- choose one --
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
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
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1971
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1952
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1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
High School / GED
Required
Postsecondary Institution
Required
Program of Study
Required
-- choose one --
Anesthesia Technician
Cardiac Monitor Technician
Cardiovascular Invasive Specialist
Cardiovascular Technology
Diagnostic Cardiac Sonography
Diagnostic Medical Sonography
EKG/Phlebotomy Technician
Medical Assistant
Medical Billing and Coding
MRI Technology
Neurodiagnostic Technology
Patient Care Technician
Phlebotomy Technician
Pharmacy Technician
Sterile Processing Technician
Surgical Technology
Start Date
Required
-- choose one --
Spring 2026
MA-Eve (09/15/2025)
SPT-Day (08/25/2025)
SPT-Eve (10/20/2025)
PHT-Day (09/15/2025)
PCT-Eve (09/15/2025)
CMT-Eve (08/11/2025)
AT-Day(01/05/2026)
Winter 2026
CMT-Day (09/24/2025)
MBC-Day (10/06/2025)
MA-Day (10/20/2025)
PCT-Day (10/20/2025)
PHT-Eve (01/12/2026)
MBC-Eve (01/26/2026)
If currently employed, who is your employer?
Required
Type Of Employment
Required
-- choose one --
Full-Time
No-Time / Unemployed
Part-Time
is Required
Today's Date (mm/dd/yyyy)
Required
Signature (Please type your full name)
Required
Payment Method:
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Financial Aid
Payment Plan
Other
Years Attended (From/To)
Required
Status: Graduate, Currently Attending, Withdrawn, etc.
Required
Please check box if BA/BS degree or higher:
Required
Please select the highest level of education you have successfully completed.
Required
-- select one --
Certificate/diploma
Some college credits
Associate degree
Bachelor's degree
Master's degree
Doctoral degree
STOP: If you are an international student who is seeking an F-1 student visa to study in the United States, then you are using the wrong application. Please contact the admissions team at 908-222-0002, Ext. 553 to clarify your status.