"*" indicates required fields Welcome to our new application. We’ve completely redesigned this form to save you time. If you started an application on our previous system, please begin a fresh one here – you’ll find this version much faster to finish. Name* First Middle Last Birthday* MM slash DD slash YYYY Gender* Male Female Other Email* Phone*Phone Type* Home Work Cell Are you a US Citizen* Yes No Permanent Resident* Yes No Alien Registration #*Social Security Number*Indicate your ethnic background* Asian African American, Black American Indian or Alaskan Native Hispanic Pacific Islander White Other Prefer not to say Address* Street Address Street 2 (Optional) City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Semester Start*Summer 2026 (May 4, 2026)Fall 2026 (August 31, 2026)Spring 2027 (January 4, 2027)Plan to Study* Campus Online Military Status* Yes No Military ID*Financial Aid?* Yes No Highest Education* GED High School Diploma Associate Degree Bachelor Graduate Postgraduate AAMI will require transcripts for all previous education.CAPTCHAProduct NameThere is a $50 mandatory fee which is non-refundable. Payable belowCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name Fee Notice* I understand.AAMI IS NOT AUTHORIZED TO PROVIDE ONLINE EDUCATION IN ALL STATES. (We will continue to work diligently to secure permission to offer online courses in every state. For more information, please contact the Office of Admissions at [email protected].) Δ
