Future Student Information

First Name *

Last Name *

Email *

PO Box / Street Address *

Apartment

City *

State / Province (XX) *

Zip / Postal Code *

Country *

Phone (###-###-####)

Cell Number (###-###-####)

First Choice of Major *
Select a Major ADM OF JUSTICE-BAS ADMIN OF JUSTICE ADMIN PROFESSIONAL ADV HVAC-R TECH ADV MFG TECHNICIAN ADV MFG TECHNOLOGY ADV MFG&DESGN TECH AGEC-A CERT AGEC-B CERT AGEC-S CERT ANTHROPOLOGY ART-GENERAL AUTO SERV CONSLTNT AUTO SERV TECHNLGY AUTOMOTIVE MAINT AUTOMOTIVE TECHNIC BIOLOGICAL SCIENCE BOOKKEEPING BUS OFFC ASSISTANT BUS PROJ MGMT FUND BUS TECH SPECIALST BUSINESS BUSINESS ADMIN CADD TECH LEVEL I CADD TECH LEVEL II CADD TECHNOLOGY CDL - COM DRVR LCN CHEMISTRY COMMUNICATION STUD COMP INFO SPECLST COMP INFO SYSTEMS CONSTRUCTION TECH COS/HAIRSTYLIST COS/NAIL TECHNICIA COSMETOLOGY COSMETOLOGY INSTRU CULINARY FUNDAMENT DATABASE SUPPORT DENTAL ASSISTING DIESEL TECHNOLOGY EARLY CHILDHOOD ED ECE-BAS TRACK EDUCATION-ELEM EDUCATION-SECOND ELEC & INSTR TECH ELECT FUNDAMENTALS EMT EMT-PARAMEDIC ENGINEERING ENGLISH ENVRNMNTL TCHNLGY FIRE SCIENC-LVL II FIRE SCIENCE FIRE SCIENCE-LVL I FIRE SERVICE TRAIN FIRE SRVC-ADVANCED FIREFIGHTING-BASIC FOOD CROP HORTICUL FORESTRY GEN BUSINESS SKILL GENERAL BUSINESS GENERAL STUDIES GENRL TECHNCL STUD GEOLOGY GRAPHIC DESIGN HEALTH & PHYS EDUC HEALTH CARE FOUND HISTORY HVAC-R HVAC-R COMM TECH HVAC-R TECHNOLOG INDUSTRL PLNT TECH IT SUPPORT PROFESS LANGUAGES LAW ENFORCEMENT LIBERAL STUDIES LICENSD PRAC NURSE MACH SHOP TECHNLGY MAJOR APP REPAIR MASONRY MATHEMATICS MED CODE&BILL SPEC MEDIA COMMUNICATNS MEDICAL ASSISTANT MINING/INDST TECH MUSIC NURSING NURSING ASSISTANT ORN HORT&LAND TECH PARAMEDICINE PATIENT CARE TECHN PERSL CMP SYST/NET PERSONAL INTEREST PERSONAL TRAINER PHARMACY TECHNCIAN PHLEBOTOMIST TECH PHYSICS POLITICAL SCIENCE PRE-APPRENT CARPEN PRE-CHIROPRACTIC PRE-MEDICAL SCIENC PRE-OPTOMETRY PRE-PHARMACY PRE-PHYSICAL THRPY PSYCHOLOGY REG PEACE OFFR TR RENEW SUST ENERGY RENEWBL SUS ENERGY RETAIL MANAGEMENT SM BUS PROPRIETOR SMALL BUS MGMT SOCIOLOGY SPORTS MED & REHAB SPORTS STUDIES AA THEATRE ARTS UNDECLARED MAJOR UPDATING VOC SKLS VEHICLE MAINT TECH WELDING FOR INDUS WELDING TECHNOLOGY WELDING/MFG FUND WILDLAND-FIREFGHTR WILDLIFE BIOLOGY

High School Name *

Grad Year (####) *