KTEC APPLICATION

All fields are required to process application.
First Name: Last Name:
Gender:Female
Male
Birthdate:     
Graduation Year:
Anticipated Start Date:   
High School:
If "Other" please list High School in field below selection box.
Other High School:
Student's Counselor Name:
Your Street Address:
Zip: City:
Country:
Student Email:
Please retype the Email for verification:
Student Cell Phone:
### ### ####
Student Home Phone:
### ### ####
Parent Guardian Email:
Mother/Guardian Name:
Mother/Guardian Cell:
###-###-####
Father/Guardian Name:
Father/Guardian Cell:
###-###-####
Course Preferance:
Choose one only.
Session Preferance:8:00 - 10:30 AM
11:30 - 2:00 PM

Please be aware that space is extremely limited.

Note: 1) Auto Body-Collision Repair Technology is AM Session Only.

 2) Physical Therapy-Sports Medicine is PM Session Only.

If your first choice is full do you have a second choice:
2nd Choice:
2nd Choice Time Preference:8:00 - 10:30 AM
11:30 - 2:00 PM
To get to KTEC, I plan to use:
I am a second year KTEC student:Yes
No
 
Please enter the Characters displayed (Caps are not necessary):

Note: Private, Online, and Home School students will need to complete additional registration steps for this application to be processed. Please submit application and contact KTEC for more information.

 

 

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