Registration We would like to learn more about yourself and your education goals: Preferred Area of Interest & Location Are you an International Student?: Please Select Yes No Choose Area of Interest: Please Select Technology Health Science / Nursing Business / Criminal Justice Culinary Arts Choose Program: Are you currently a registered nurse (RN)? Please Select Yes No Location: Contact Information First Name: Last Name: Phone: Email: Zip Code: How Did You Hear About Us? Please Select Streaming Video (Hulu, Twitch, etc.) Billboards Referral (ECPI Student, Alumni, etc.) YouTube Social Media (Facebook, Twitter, etc.) Internet Search (Google, Bing, Yahoo, etc.) Internet Radio Radio Television Other Are you or your spouse active duty, reservist or a veteran of the U.S. Armed Forces? Yes No By submitting this form, I agree that ECPI University may contact me via email, telephone, wireless phone, or text message regarding its programs and offers. I understand these calls may be generated using an automated dialer. Standard text and/or usage rates may apply. By this submission I understand that if I am outside the United States, I am consenting to the transfer of my personal data to, and its storage in, the United States, and I understand that my personal data will be subject to processing in accordance with U.S. laws. Continue
