***Your classes are FREE until AUGUST 7, 2021, but there is a $45 mandatory registration fee that you must pay before choosing your classes.  (6 week certification courses are excluded) For any questions or concerns please e-mail us at info@astabc.org or call the AST Office Monday – Friday from 12:00pm – 5:00pm at  (310) 212-3978.***  

STUDENT INFORMATION 1 of 2

FIRST NAME *
LAST NAME *
DATE OF BIRTH *
EMAIL ADDRESS *
PHONE NUMBER *

ADDRESS *

CITY *
STATE *
ZIP *
CHURCH AFFILIATION *
PROGRAM OF STUDY *
LAST 4 DIGITS OF SSN *

Education Background

HIGH SCHOOL

CITY
STATE
HOW MANY YEARS COMPLETED?
GRADUATION/ DATES ATTENDED

COLLEGE

CITY
STATE
GRADUATION/ DATES ATTENDED
DEGREE RECEIVED

COLLEGE

CITY
STATE
GRADUATION/ DATES ATTENDED
DEGREE RECEIVED