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About You:

First Name

Last Name

Email Address

This email address will be used for the account activation and application process.

Confirm Email Address

Birth Date (MM/DD/YYYY)

Your birth date is used to initiate an Applicant Profile for you. You will receive an email after submitting this form to activate your account using this date.

Phone Number

Is this an International Number?YesNo

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Corporate Partner Employee

If applicable, select your employer from the list below. Additional Partners can be found on our Application.
Please be sure to review prior to submitting the application.

Are you associated with the US Military?

1) Currently serving in the US Military
2) A dependent of a current active duty, guard or reserve status servicemember
3) A Veteran
4) Currently employed by the DoD

YesNo

What are you interested in studying with TESU?

Are you hoping to earn a degree through TESU?

Academic Level

Please choose your program/area of study:

By submitting this form, I give express consent for Thomas Edison State University to contact me about educational programs and services, by email, text or phone call, including with the use of automated technology, at any email address or phone number (including wireless) provided on this form. I may also request information directly by calling the University at (609) 777-5680
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