Test Page Subhead "*" indicates required fields Step 1 of 4 25% X/TwitterThis field is for validation purposes and should be left unchanged.Laurel Institutes Locations & ProgramsLocation of Interest*- Select -OnlineFort Mill, SCHermitage, PAMorgantown, WVUniontown, PAPenn TownshipPlease Select Program*- Select -Cardiovascular TechnologyElectrical Systems TechnicianPractical NursingPrograms Offered in Fort Mill, SCPlease Select Program*- Select -Cardiovascular TechnologyComputer Network Security TechnicianElectrical TechnicianCosmetologyCulinary ArtsEsthetics / Nail TechnicianRespiratory TherapyMaster Teacher of CosmetologyPractical NursingWelding & FabricationPrograms Offered in Hermitage, PAPlease Select Program*- Select -Computer Network Security TechnicianElectrical TechnicianRespiratory TherapyCosmetologyEsthetics / Nail TechnicianMaster Teacher of CosmetologyPractical NursingWelding & FabricationPrograms Offered in Uniontown, PAPlease Select Program*- Select -ADN to BSNCardiovascular TechnologyCosmetologyElectrical TechnicianEstheticsHairstylingHVAC TechnicianLPN/Paramedic to ADN Hybrid-OnlineLPN/Paramedic to ADNNursingNail TechnicianPrograms Offered in Morgantown, WVPlease Select Program*- Select -Computer Network Security TechnicianElectrical TechnicianPractical NursingPrograms Offered in Penn TownshipPlease Select Program*- Select -Accounting & Business AdministrationADN to BSNClinical Medical AssistantCloud Computing TechnologyMedical Billing and CodingMedical Laboratory TechnicianMedical Office AdministrationPrograms Offered OnlineYour InformationFirst Name*Last Name*Phone*Email* Address* Street Address 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 Demographic InformationThe following information is required by the Department of Education for reporting purposes only.Do you consider yourself to be Hispanic/Latino?- Select -YesNoIn addition, select one of the following racial categories to describe yourself.- Select -American Indian or Alaska NativeNative Hawaiian or Pacific IslanderWhiteAsianBlack or African AmericanOtherWhat is your legal state of residence?- Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingWhat is your marital status?- Select -SingleDivorcedMarriedSeparatedWidowed Education InformationDo you have a high school diploma or G.E.D?- Select -High School DiplomaGEDNot ApplicableHave you attended any other higher education institutions?- Select -YesNoDid you complete your vocational training?- Select -YesNoNot Applicable Laurel Institutes Information CollectionHow did you hear about Laurel Institute?*- Select -Online AdGoogle SearchFacebookNetflix AdHulu AdInstagramReceived an email from the schoolReceived a postal mailer from the SchoolA friendWhat is your military service status?- Select -ActiveVeteranNot ApplicableHave you ever been convicted of a felony or misdemeanor over the age of 18?- Select -YesNo(Not necessarily a bar to admission)Are you a dependent student (under 24, not married, no children) or an independent student?- Select -Dependent StudentIndependent StudentDo you need help with a financial plan for school?- Select -YesNoWhy should you be accepted to Laurel Institutes?*Clery DisclosureOn-campus crime statistics, off-campus crime statistics, and city crime statistics for the previous three-year period may be obtained by students, prospective students, employees, and new hires on the school website www.laurel.edu at consumer information/consumer disclosure/campus crime statistics, Annual Security Report (ASR), student bulletin boards, employee shared files (General), new hire processing, and employee bulletin boards. The Annual Security Report (ASR) will be emailed to all students and employees prior to October 1 every year and a paper copy is available on request from the Campus Director or Vice President of Human Resources. The Admission department will email a current ASR to prospective students. A paper copy will be provided on request.I Understand* By submitting this form I agree that all provided information is true and accurate to the best of my knowledge. I acknowledge that there is a $50 application fee and I also give permission for a representative of Laurel Institutes to reach out to me. Message and data rates may apply. Text STOP to opt out or HELP for help.This field is hidden when viewing the formmidThis field is hidden when viewing the formUTM SourceThis field is hidden when viewing the formUTM TermThis field is hidden when viewing the formUTM MediumThis field is hidden when viewing the formUTM Campaign I am raw html block.Click edit button to change this html