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Apply Online

Ready to get started? To apply for any of Valley College’s online or on-campus programs, fill out the form below. Our Admissions team will review your submission and reach out to you to answer any questions you may have.

What's your first name?
What's your middle name?
What's your last name?
Which Program are you interested in?
Which Location are you interested in?

Contact Information

Please provide a valid home phone number.
Please provide a valid work phone number.
Please provide a valid mobile phone number.
Please provide a valid email address.

Physical Address

What is your street address?
What city do you live in?
What state do you live in?
What is your zip code?

Mailing Address ( if different from Physical Address )

What is your street address?
What city do you live in?
What state do you live in?
What is your zip code?

Education History

High School / GED
- OR -

Advanced education: (college, university, and/or vocational/technical school)

Please note that applicants may be asked to furnish transcripts of their educational history.

What's your first name?
What's your middle name?
What's your last name?
What's your first name?
What's your middle name?
What's your last name?

General Information

Parent's Information

What's your first name?
What's your last name?
Please provide a valid email address.
Please provide a valid home phone number.
Please provide a valid work phone number.
Please provide a valid mobile phone number.
What is your street address?
What city do you live in?
What state do you live in?
What is your zip code?

Online Classes

Reason for Applying

Reference

What's your first name?
What's your last name?
Please provide your relationship with this person.
Please provide a valid phone number.
What is your street address?
What city do you live in?
What state do you live in?
What is your zip code?

Understand of Agreement

I understand that misrepresentation or omission of facts in this Application can result in termination from the program. This Application will be void if the original has been altered. By typing my name into the box below and entering a date I indicate my agreement to these terms.

What's your full name?
Today's date

By submitting this form, you are giving your express written consent for Valley College to contact you regarding our programs and services using email, telephone or text - including our use of automated technology for calls and periodic texts to any wireless number you provide. Message and data rates may apply. This consent is not required to purchase goods/services and you may always call us directly at 304-451-3172.

Please agree to the terms.
What is your other?