Student Interest Form

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Email

Number

Current School

Major/Program of Interest

I would like more information about:

Athletics I am interested in:

Athletic Training Cheer/Dance Football Powerlifting Softball Volleyball Manager

Technical Programs I am interested in:

Allied Health AOM CIT/Cyber Security Cosmetology CSE EMT Web Design Welding

Would you like to schedule a campus tour?*

Yes No