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Student Evaluation

Name *

Campus Interested In? *

Address *

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Email *

Phone *

Date of Birth

How did you learn about The Academy? *

Currently Employed? *

Type of Employment *

Last Employer Name *

Position/Title *

Duration? *

Annual Income: *

Courses Interested In? *

Microsoft Office Specialist (MOS)
CompTIA A+/Network+
Cisco CCNA
Microsoft MCTS/MCITP
Network Technician Program
Network Engineer Program
Network Expert Program
Information Technology Program
Application Architect Program
Messaging
Windows Desktop
Server Technology
Exchange
Security
SharePoint
SQL Server
Other

Educational Background? *

Reason For Attending The Academy (Goals) *

Betterment
Career Change
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What is your technical background? *

What is important to you when choosing an academic institution?

Last Four Digits of Social Security Number *

Contact Name in Case of Emergency *

Phone Number *

Relation *

Admissions Representative *

Electronic Signature (Initials) *

Captcha *

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Phone

Contact Us

Miami Campus 3721 NW 7 Street Suite 3721-1 Miami, FL 33126

info@academyfl.com

Fort Lauderdale Campus 800 W. Cypress Creek Road Suite 200 Fort Lauderdale, Fl 33309

info@academyfl.com

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