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ENROLLMENT CONTRACT

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Student Information

Date

First Name

Last Name

Address 1

Address 2

City

State

Zip Code

Country

Home Phone

Business Phone

Email

Social Security No.

Date of Birth

Course Selection Information

Basic Guide Program

FOR VETERANS

FOR VETERANS

COAGS IS POST 9-11 GI BILL® is a registered trademark of the U.S. Department of Veterans Affairs (VA). More information about education benefits offered by VA is available at the official U.S. government website at www.benefits.va.gov/gibill

FOR ADVENTURERS

FOR ADVENTURERS

COAGS IS POST 9-11 GI BILL® is a registered trademark of the U.S. Department of Veterans Affairs (VA). More information about education benefits offered by VA is available at the official U.S. government website at www.benefits.va.gov/gibill

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(970) 268-5205

20781 Kimball Creek Rd
Collbran CO 81624

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