University of Antelope Valley : Apply Now

Do you already know what career path you would like to take? Fill out our secure online form and you will become a student at UAV in no time!
* denotes required fields.

Full Legal Name:

Last*

First*

Middle

Current Mailing Address:

Street*

City*

State*

Zip Code*

Phone Numbers

Main*

Work

Mobile

Best time to reach you*

8:00am - 10:00am

10:00am - 12:00pm

12:00pm - 2:00pm

2:00pm - 4:00pm

4:00pm - 6:00pm

Weekends

Anytime

Email*

Gender

Male

Female

High School Graduate?*

Yes

No

GED

Are you interested in online classes?

Yes

No

Unsure

Degree & Certificate Programs*

Date of Birth

(dd/mm/yyyy)

Ethnic Identity

American Indian / Alaskan	Asian
Black - African American	Filipino
Hispanic	Other / Non-white
Pacific Islander	White / Non-Hispanic
Unknown / Non-respondent

Enrollment Status

First time college student

First time UAV (transfer student)

Returning to UAV

Planning to Attend

Day Classes

Evening Classes

How did you find us?*

AV Mall Kiosk	Internet- Typed In UAV.edu
AV Press	My Friend Attends UAV
Billboard	PennySaver
Bus Ad	Pioneer Press Magazine
Drove by The University	Radio
Email	Referral
Event Booth	TV- Channel 3 News
Event at PEC	Yellowpages
Facebook	YouTube / Video
Internet- I Googled It	Other
Internet- Random Search

All information provided is true and complete to the best of my knowledge. I understand that admission to the University of Antelope Valley is contingent upon submission of one of the following: official high school transcript, official G.E.D. test scores, or Ability to Benefit test scores and satisfaction of any additional admission criteria.*

I Agree to the statement above (Required to proceed).

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