Refer a Student
Tell us about someone who may be interested in attending Tech or the CTC at Tech
Student Information
First Name
Last Name
Address
City, State, Zip
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IA
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Phone
Email
High School or College Attended
High School Graduation Year
Proposed Major
Select a major
Accounting, B.S.
Athletic Coaching Education, B.S.
Biology, B.S.
Business Management
Career & Technical Education, B.S.
Chemistry, B.S.
Health Services Administration, B.S.
History & Government, B.S.
Industrial Relations & Human Resources, B.S.
Interdisciplinary Studies, B.A./B.S.
Management Information Systems, B.S.
Mathematics, B.S.
Nursing, B.S.N.
Psychology Transfer Program
Printing Management, B.S.
Public Service Administration, B.S.
Regents, B.A.
Technology Management, B.S.
Chemical Engineering, BSChE
Civil Engineering, BSCE
Computer Science, BS
Computer Engineering, BSEE
Electrical Engineering, BSEE
Mechanical Engineering, BSME
Control Systems Engineering, MS
Automotive Service Technology: ASE Track (AAS)
Board of Governors (AAS)
Business Technology (AS)
Child Development Specialists (AAS)
Cisco Certification/A+
Civil Engineering Technology (AS)
Computer and Information Technology (AS)
Computerized Drafting and Design Engineering Technology (AS)
Computer Science A.S.
Dental Hygiene (AS)
Diesel Technology
Electrical Engineering Technology (AS)
Electronic Engineering Technology (BS)
Engineering Technology (BS)
Entrepreneurship
General Studies (AS)
General Studies Certificate Nursing or Health Science Transfer Program
Industrial Technology (BS)
Mechanical Engineering Technology (AS)
Occupational Development/Corrections
Occupational Development/Culinary Apprenticeship (AAS)
Office Technology Management
Para-Educator Pre-Press Technology/Certificate Program
Press Technology/Certificate Program
Printing Technology (AS)
Respiratory Therapy (AS)
Technical Studies: Information Technology
Undeclared
Athletic Interest (if any)
Parent/Guardian Name(s)
Your Information
First Name
Last Name
Email
Relationship to Student
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Relative
Friend
Teacher
Other
Relationship to Institution
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Student
Faculty Member
Staff Member
Parents
Alumnus
Friend
Other
Verification
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