* = Required Information
Home Cell Business
Home Cell Business
Allied Health & Technology Institute requests your Social Security number and birth date to comply with our reporting requirements. Your Social Security number will not be used as your primary student identification number.
In order for Allied Health & Technology Institute to properly verify your address, please present your driver’s license, a State issued ID card, or a voter registration card with your application.
Refund Policy

The tuition and fees paid by the applicant shall be refunded if the applicant is rejected by the school before enrollment. Allied Health & Technology Institute will notify each applicant who is rejected by the school before the enrollment date. An application & Entrance Exam fee of not more than $75 may be retained by the school if the application is denied. All tuition and fees paid by the applicant shall be refunded if requested within 3 business days after signing a contract with the school. All refunds shall be returned within 30 days. Delays may occur in processing if a student has not provided the school with a current address. Allied Health & Technology Institute does not discriminate in its educational programs, activities, admissions, or employment on the basis of race, color, sex, national origin, handicap, sexual orientation, age, political affiliation, or beliefs as required by Title VI of the Higher Education Amendments, Title IX of the Civil Rights Act, Section 504 of the Rehabilitation Act. Questions concerning Allied Health & Technology Institute non-discrimination policies may be addressed to the Office of Admissions, 202-526-3535.

Yes No
Male Female
Asian or Pacific Islander
Black, non-Hispanic
Native American or Alaskan Native
White, non-Hispanic
US Citizen
Permanent Resident or Resident Alien Hispanic (provide Alien Registration Card from 1-551)
Refugee or Asylum Status White, non-Hispanic (provide Proof of status from USCIS)
Still attending high school (requires high school signature below)
High school graduate or GED
Non-high school graduate
Associate degree or less
More than 2 years, but less than a 4 year degree
Four-year college graduate
More than 4 years of college
Home Health Aide Certified Nurse Assistant CNA-HHA (Bridge program) MED TECH (MD)
TME (DC) PHLEBOTOMY
Session you plan to begin:
If your tuition is being funded by any DOES Works! Program, please complete the following:
I certify that all answers given to questions in this application are correct and complete, and agree to abide by the regulations of AHTI.
Security code

Student Orientation Handbook