The Business of Art & Design

Program Placement Form

Full Name (first, middle initial, last)
Mailing Address:
Street
City & State
Zip Code
Telephone Number (please include area code)
Email Address
Please provide information on the high school you attended.
Name of the high school you attended
City & state of the high school you attended
Dates of Attendance
Please provide information on any other educational institutions you've attended (community college, vocational school, etc).
Name of the other educational institution you've attended
City & state of the other educational institution you've attended.
Dates of Attendance
List your last 2 work experiences. You may include volunteer work if you like. Please provide employer's name, city, state.
Dates Worked
Dates Worked
Which program are you interested in enrolling? Please check all that apply. You may be in more than one program at the same time.
Digital Art & Design (DA&D)
Product Design & Development (PD&D)
AAS stands for Associate in Applied Science
How or where did you learn about the Digital Art & Design and/or Product Design & Development programs?
Do you ever see yourself opening your own business?
If you do not live in Halifax County, will you need housing?
Write a short paragraph describing why you are interested in the program you chose and what career you are interested in pursuing with the knowledge you will gain from this academic pursuit.