ACE DIGITAL MEDIA INSTITUTE OF TECHNOLOGY 
(ADMIT)

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Application

ACE DIGITAL MEDIA INSTITUTE OF TECHNOLOGY
5517 Adams Ridge Road,
Clarksville, MD 21029
Tel.: 301-596-9428 

APPLICATION FORM

    *Course   

    *Location        or    *School on Wheels   

    *Date       

Contact Information:

*First Name
*Last Name
Preferred Name
*Address
*City
*State
*Zip
*Country
*Home Phone
Alternate Phone
Fax Number
*E-mail
*Sex
Male Female
*Age
Social Security #
*Date of Birth

___________________                        ________
Signature of Applicant                            Date

*Only high school students are required to fill below

__________________________________
Name of High School

_________________________________________
Address of High School

_______________________
Signature of Parent/Guardian

All applicants must  fill the form, print it, and send it with your $10 non-refundable application fee to the above address.

 

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Copyright © 2005 Ace Digital Media Institute of Technology