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Thank you for your interest in Allied! After you click on the "SUBMIT" button below, we will send your free information packet within the next 24 hours.  The following is an optional questionnaire. The information obtained will never be sold, it is solely for our use. It will take you a matter of seconds to complete.  We truly appreciate your participation!

1. Age?
18-25
26-35
36-45
46-55
56-65
66+

2. Marital Status?
Married
Divorced
Single

3. Sex?
Female
Male

4. Are you currently working?
Full Time
Part Time
Student
Homemaker
Not Working

5. If you choose to take an Allied course, how soon would you be ready to get started?
Immediately
1 month
2-3 months
4-6 months

6. Tell us what you would like to gain from completing an Allied course.
New Career
Advance in your current job
Starting your own business
More time with children
Increased income potential
Work from home
Tax benefits
Time flexibility

8. When is the best time for you to study?
Mornings
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9.  What type of computer do you use?
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10.  What is your connection speed?
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33.6K
56K
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T1 or faster

11.  Are you an AOL user?
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No

12.  How did you find this site?
Yellow Pages
Search Engine
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Typed in URL directly
Referral from friend/family

If you have any questions, use this form and an
Allied Admissions Representative will call you!
(M-F 9am - 5pm PST)