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            Admissions Application

            Palmer College of Chiropractic Doctor of Chiropractic (D.C.) Program

            This page contains a PDF, which requires to view.

            If you are currently enrolled in a D.C. program in another chiropractic college and are considering transferring to Palmer, please contact an Admissions Representative before completing this application. Main campus: 800-722-3648 | Florida campus: 866-585-9677 | West campus: 866-303-7939

            * Required

            Anticipated Entry

            Primary Address

            Alternate Address

            Background Information

            U.S. Citizens

            Educational Information

            Please list all colleges you've attended or are currently attending

            College Information

            College #2 *

            College #3 *

            College #4 *

            Additional Colleges
            * Please Explain ...
            Please list the other schools

            Voluntary Information

            Chiropractor Information

            By completing the information below, I give permission for Palmer College to communicate to and recognize the listed doctor for their student referral on my behalf.

            To finish your application process you must also:

            Note: Official documents will be held for 60 days without an application.

            Notice of Non-Discrimination and Reservation of Rights

            View Notice

            Notice of Non-DiscriminationIn
            Palmer College of Chiropractic (College) does not discriminate in employment, admissions or in educational practices, programs, services or activities on the basis of age, ancestry, citizenship status, color, creed, disability, national origin, race, religion, sex, sexual orientation, gender identity, veteran status or other characteristic protected by law in the state in which the applicable College premise is located.

            Reservation of Rights
            Palmer College of Chiropractic reserves the right, without notice, to modify its requirements for admission or graduation; to change the arrangements or content of its courses and the instructional materials used, or to alter any regulation affecting the student body; to refuse admission or readmission to any student at any time, or to dismiss any student at any time, should it be in the interest of the College, or of the student, to do so. The College also reserves the same right as to any other material in this publication.

            This application may be denied admissions based on a number of factors including, but not limited to, past academic performance, past academic or ethics violations, criminal activity or dishonesty in the admissions process. If you wish to withdraw your application at anytime, contact your Admissions Representative for processing.


            Terms and Conditions

            Please download:
            Catalog (updated every other year)
            Key Points

            • I am submitting this form which serves as my authorization to Palmer College of Chiropractic to process my application.
            • I certify the information submitted is true and complete to the best of my knowledge and I am not knowingly excluding information that may cause undo delay or denial of my application.
            • I understand that revocation of this application must be made in writing and sent to the Office of College Enrollment at Palmer College of Chiropractic.
            • I understand that I am to notify the Admissions Department in writing, if I am dropped or dismissed from a college, graduate or professional school.
            • I give permission for Palmer College to collect and store my information for processing and contact purposes and understand that my privacy is protected.
              Note: This stands as written permission for those other than myself, listed below, to access my file.
            • I understand that my application will not be processed until I have paid the $100 non-refundable application fee by clicking on an option below.
            Submit Payment

            Credit or Debit card:
            A PayPal account is not required to make a payment using the PayPal website.

            You will be directed to PayPal to submit payment. Note: An account is not required to make a payment using the PayPal website.

            Admissions Code

            Choose your program

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