Apply to Helms College

Employee Application

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First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

*Email:

*Phone:

Date of Birth:

U.S. Citizen:

Gender:

Ethnicity:

PROGRAM OF INTEREST

School Attended

High School Graduate:

If Graduated, Graduation Date:

Expected Graduation Date:

Emergency Contact Information

Name:

Phone Number:

Relationship:

How did you hear about Helms College?

Personal Statement

I DECLARE under penalty of perjury that the statements and information submitted in this online application are true and correct.
I UNDERSTAND that all materials and information submitted by me for purposes of admission become the property of Helms College.
I UNDERSTAND that federal and state funds are available to assist me with the cost of college and that I can find out more by contacting the Financial Aid office.

Type your full name as it appears on the application in lieu of electronic signature.

*Electronic Signature:

Helms College admits students of any race, color, and national or ethnic origin and has adopted a nondiscrimination policy that is available from the Human Resources Department upon request.

Employee Application was last modified: May 7th, 2024 by Olivia DeMoss

Employee Application

PROGRAM OF INTEREST

School Attended

Emergency Contact Information

How did you hear about Helms College?

Personal Statement

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