In the Program fields below you can select the program related to the Campus of your choice.
AAS DEGREE SUBSTANCE USE DISORDER COUNSELING-IDL (S-AAS-SUDC-IDL)
ALCOHOL AND DRUG COUNSELING STUDIES - H (S-ADCS-H)
ALCOHOL AND DRUG COUNSELING STUDIES - IDL (S-ADCS-IDL)
MEDICAL ASSISTANT (S-MA-H)
PHARMACY TECHNICIAN (S-PT-H)
AAS DEGREE BUSINESS ADMINISTRATION-IDL (S-AAS-BUS-IDL)
BUSINESS OFFICE ADMINISTRATION-IDL (S-BOA-IDL)
COMPUTERIZED ACCOUNTING-IDL (S-CA-IDL)
AAS DEGREE CYBER SECURITY - H (S-AAS-CYB-H)
CYBERSECURITY SPECIALIST-H (S-CYB-H)
BEHAVIORAL HEALTH ASSISTANT-IDL (BHA-IDL)
ELECTRICAL TRAINING PROGRAM-H (S-ETP-H)
HVAC TECHNICIAN-H (S-HVAC-H)
Street / Unit #
Armed Forces Americas
Armed Forces Pacific
District of Columbia
Federated States of Micronesia
Northern Mariana Islands
Prince Edward Island
Social Security No
Black or African American
Race and Ethnicity Unknown
Native Hawaiian or other Pacific Islander
American Indian or Alaska Native
Two or more races
Are you a Veteran?
Are you a high school graduate?
Do you have a G. E. D.?
High School Name
First Time College Student
Are you currently employed?
City and State
Have you applied to InterCoast before?
If yes, When/Where?
Will you be seeking financial assistance?
Statement of non-discrimination: InterCoast does not discriminate on the basis of sex, age, handicap, race, natural origin, sexual orientation, political affiliation, creed or religion in its admission to or treatment in its programs and activities, including advertising, training, placement assistance, and employment. The institution follows all policies pertaining to admission of students with special needs such as physical or mental handicaps or learning. Any special accommodation requests, if applicable, must be made in writing. The Campus President is responsible for accepting students and determining whether applicants, including those with special needs, can benefit from the training.
I certify that all the information contained in this application, and in all of the supplemental materials which I shall submit, is accurate and true. I further understand that any submitted records and documents are not returnable. I understand that I may be required to provide supporting documentation of the information reported herein. In connection with my application for tuition assistance, I understand that a consumer report, including financial, credit, criminal, and/or other information. I authorize, without reservation, a credit report to be obtained on my behalf, and authorize the institution or loan servicer to have access to such information to determine eligibility for tuition assistance. I understand the questions contained in this application will be used solely for statistical reporting, admissions, and/or financial consideration. By signing this document electronically, I certify that the information is provided by me and I certify that my electronic signature used on this document is a legally binding equivalent to my handwritten signature.
Enter the above code