Apply For Admission Home » Apply For Admission Personal Information "*" indicates required fields CompanyThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formPersonal InformationFirst Name:*Middle Name:Last Name:*Email* Phone*Are you a veteran?* No Yes Do you have benefits? VA Post 911 GI Bill VA Voc (Ch31) Other Are you Eligible for VA Benefits? Yes No Are you applying through a government agency?* Yes No Agency NameContact NameContact #Criminal Record:* Yes No If yes, describe:Known Medical Condition:* Yes No If yes, describe:Disabilities:* Yes No Some disabilities may prevent you from working in your chosen field If yes, describe:U.S. Department of Education InformationThe following information is collected to compile reports required by the Department of Education and will not be used to determine enrollment. Age:*Gender: Male Female Not Specified Citizenship: US Citizen Non-Citizen Eligible Non-Citizen Unknown Race/Ethnicity: American Indian Asian Black/African American Hispanic White/Caucasian 2 or More Races Unknown/Unspecified In Case of Emergency1st Contact Name:*Cell Phone:*Relationship*2nd Contact Name:Cell Phone:RelationshipCurrent Living Situation Living with parents Living off campus (not with parents) Educational ExperienceHave you attended another college? Yes No Are you interested in receiving transfer credits(s)? Yes No Do you have any loans in default? Yes No Institution Name:State:Year:Received Financial Aid? Yes No Received Degree? Type of Degree? Yes No Institution Name:State:Year:Received Financial Aid? Yes No Received Degree? Type of Degree? Yes No How Did You First Hear About Us?*SelectGoogle (or other Search Engines)Social Media (Facebook, Instagram, LinkedIn, Threads, Tik Tok, Twitter, etc)Another website talking about usReferral (a friend, a peer, a coworker, etc)Events (School Fair, Webinar, Networking Event, Training Seminar, etc)TelevisionRadioAttestation Everything I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my employment history and to answer questions about any future credit experience with ITI Technical College. Applicant’s Signature*Date MM slash DD slash YYYY Admission’s Advisor SignatureDate of interview MM slash DD slash YYYY * RequiredWe Value Your Privacy.We know you are anxious to get started on your new career. By pressing the button in the form on this page, I understand that ITI Technical College may call and/or text me about educational services at the phone number provided, including a wireless number, using automated technology. Your information will only be used by ITI Technical College. We do not and will not sell your information to any other party. Please note, that you are not required to provide this consent to attend our institutions. By submitting this form or contacting us by phone, you agree that message and data rates may apply.
