Graduate Request for Information

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First Name: *
Last Name: *
Address: *
Address (line 2):
City: *
State/Province: *
Country: *
Zip/Postal Code: *
Telephone:	(Please include your full number, with area code.)
Email:	(Please provide your email if at all possible. Be sure to type it carefully.)
High School/College:
Current Class or Degree (choose one):
	Undergraduate Bachelor's Degree Master's Degree Doctorate
Graduate Area(s) of Interest (choose as many as needed):
	Master of Business Administration MS Accounting and Taxation Master of Education MA Human Resource Development MA in Clinical Psychology MA in School Guidance Counseling MA in School Adjustment Counseling MS in Nonprofit Management MS in Forensic Psychology MS in Nursing MS in Occupational Therapy MS Organization Development Master of Public Administration Doctorate of Education in Educational Psychology Doctorate of Physical Therapy
Action(s) Desired (choose either or both):
	Send Information and Application Please Call Me
Best time to reach me and best number to call:

American International College
Graduate Admissions Office
1000 State Street
Springfield MA 01109
413-205-3700