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Fields
Student Information
Legal Name
*
First Name
*
Last Name
*
Preferred Name or Nickname
Gender
*
Male
Female
Date of Birth
*
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Year
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Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
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 (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Primary Phone
*
Please include area code and country code if applicable. Use xxx-xxx-xxxx format.
Primary Phone Type
*
Cell Phone
Home Phone
Other
Other Phone
Email
*
Please enter email address that will be checked regularly; all correspondence regarding your deposit will be sent to this address.
Housing Plans:
*
On-Campus Housing
Off-Campus Housing (Commuter)
Are you a military veteran?
*
Yes
No
Will you use military benefits?
*
Yes
No
Payment Information
Deposit Amount:
*
$1000 MPAS
International students: Please provide a U.S.-based credit card.
Credit Card Billing Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
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 (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Credit Card
Additional information regarding the next steps as a deposited student will be mailed to you upon receipt of your enrollment deposit. Please contact the Office of Admissions with any questions:
admissions@franklincollege.edu
or 888-852-6471.
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