Sterling College Teach-Out Enrollment Form

Biographical Information

*First name

Preferred name (if different)

Middle name

*Last name

*Date of birth

*Email address

*Primary phone number

*Legal sex

Female

Male

X or another legal sex

Gender identity

Pronouns

*Permanent Address

Country

Street

City

Region

Postal Code

Mailing address (if different)

Country

Street

City

Region

Postal Code

*Are you a United States citizen or permanent resident?

Yes

*What is your country of citizenship or permanent residence?

Do you identify as a first-generation college student?
(Neither of your parents received a four-year college degree)

Yes

Academic Information

High school name

I was homeschooled for high school.

*COA entry term

*Will you be a senior when enrolling at COA?

Yes

*Would you like to pursue a bachelor's degree in environmental studies (using Sterling degree requirements) or the COA bachelor's degree in human ecology?

Bachelor's degree in environmental studies (in coordination with Sterling)

College of the Atlantic bachelor's degree in human ecology

Family Information

Parent marital status

With whom do you make your permanent home?

If other, please specify

Parent 1

Parent 1 type

Is this parent deceased?

Yes

First name

Last name

Email address

Parent 2

Parent 2 type

Is this parent deceased?

Yes

First name

Last name

Email address

Enrollment Form Submission

*I confirm that I am committing to enrolling at College of the Atlantic for the entry term I selected above.

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