If you would like to apply for admission to Akron Institute, please complete the online application below and submit it to our admissions department. In order to complete the admissions process, you must also supply required academic documents, complete an entrance evaluation, and meet with an admissions advisor.

If you prefer to simply get information about our school and our programs, we suggest you complete the request for information form instead.

At Akron Institute, we respect your privacy. Please see our Privacy Policy.

Please complete all required fields.

Last Name

First Name

Middle Initial

Gender  Male  Female

Birthdate

Age

Street Address

City

State

Zip Code

Email

Home Phone

Cell/Alternate Phone

Are you a U.S. citizen or permanent resident?  Yes  No

How did you first hear about Akron Institute?

Are you presently working full time?  Yes  No

Part-time?  Yes  No

If working, are you satisfied with your present job or occupation?  Yes  No

If no, is it because of:  earnings  job potential  job content

With additional education do you have opportunities for advancement with your present employer?

May we contact you at your place of employment?  Yes  No

Current Employer

City

Phone

Type of Work

Start Date

What software applications are you familiar with?

How would you rate your computer knowledge?  extensive  moderate  minimum  none

What is your program of interest? Accounting Bookkeeping and Payroll Accounting Business Administration Computer Networking and Security Technology Criminal Justice Dental Assisting Graphic Design Healthcare Management Health Information Management Legal Assisting/Paralegal Medical Assisting Medical Billing & Insurance Coding Medical Laboratory Technician Medical Office Administration Nursing Technology Management Other/ Undecided

Graduation option?  Bachelor Degree  Associate Degree  Diploma  Individual Course

Schedule Preference  morning  afternoon  evening

Semester start date?  Fall  Winter  Spring

Do you have a High School diploma?  Yes  No

Year of high school graduation

I graduated from or attended the following high school

Street

City

State

I obtained my GED  Yes  No

Date Received

I attended the following post-secondary institution

City

State

Did you graduate?  Yes  No

I attended the following post-secondary institution

City

State

Did you graduate?  Yes  No

Emergency Contact

Street

City

State

Zip Code

Home Phone

Work Phone

Relationship to applicant

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