Skip to main content
Loading...
Your browser does not support inline frames or is currently configured not to display inline frames
Untitled Page
All fields with an * are required.
Student Information
* First Name
* Last Name
* Email
* Phone
Date of Birth
[mm/dd/yyyy]
Radius Lead Source
ACT Test Score
Application
Campus Tour
Education Fair
Email
Facebook
GoToCollegeFair
Phone
RFI Form
SAT Test Score
Uploaded
Unknown
Encoura
HS Visit
2021 Tech Day
Lancer Look
Address
* Street Address
Address Line 2
* City
* State
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
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
Foreign State
* ZIP Code
Interests
* Major (Field of Interest)
ACCOUNTING (AS)
AGRICULTURE BUS & SCI - AGROECOLOGY/AGRONOMY OPTION (AS)
AGRICULTURE BUS & SCI - BUSINESS OPTION (AS)
AGRICULTURE-BEEF PRODUCTION (CERT 1 YR)
AGRICULTURE BUSINESS AND SCIENCES (AS)
AGRICULTURE BUS & SCI - COMMUNICATION OPTION (AS)
AGRICULTURE-CROP PRODUCTION (CERT 1 YR)
AGRICULTURE BUS & SCI - EQUINE SCIENCE OPTION (AS)
AGRICULTURE BUS & SCI - ANIMAL SCIENCE OPTION (AS)
AGRICULTURE-PRECISION AGRICULTURE (AAS)
AGRICULTURE-PRECISION AGRICULTURE (CERT 1 YR)
ART (AA)
BUSINESS ADMINISTRATION (AS)
COSMETOLOGY-BARBERING TECHNICIAN (CERT 1 YR)
COSMETOLOGY-BARBER STYLIST TECHNICIAN (CERT 1 YR)
BIOLOGY (AS)
BIOLOGY-WILDLIFE & FISH BIOLOGY & MANAGEMENT OPTION (AS)
BUSINESS ADMINISTRATION (AAS)
BUSINESS ADMINISTRATION DISTANCE LEARNING (AAS)
CRIMINAL JUSTICE (AA)
CRIMINAL JUSTICE DISTANCE LEARNING (AA)
COMMUNICATION (AA)
COSMETOLOGY-HAIR TECHNICIAN (CERT 1 YR)
COSMETOLOGY (AAS)
COSMETOLOGY-NAIL TECHNICIAN (CERT LESS THAN 1 YR)
COSMETOLOGY-SKIN TECHNICIAN (CERT LESS THAN 1 YR)
EDUCATION-CHILD DEVELOPMENT (CERT 1 YR)
EDUCATION-CHILD DEVELOPMENT DISTANCE LEARNING (CERT 1 YR)
ECONOMICS (AS)
EDUCATION-EARLY CHILDHOOD (AA)
EDUCATION-EARLY CHILDHOOD DISTANCE LEARNING (AA)
EDUCATION-ELEMENTARY DISTANCE LEARNING (AA)
EDUCATION-ELEMENTARY (AA)
ENGLISH (AA)
ENTREPRENEURSHIP (CERT LESS THAN 1 YR)
AGRICULTURE-FARM AND RANCH MANAGEMENT (AAS)
GUNSMITHING (AAS)
HUMAN SERVICES (AA)
INTERDISCIPLINARY STUDIES DISTANCE LEARNING (AA)
INTERDISCIPLINARY STUDIES DISTANCE LEARNING (AS)
INTERDISCIPLINARY STUDIES (AA)
INTERDISCIPLINARY STUDIES (AS)
MATHEMATICS (AS)
WELDING-MACHINE TOOL TECHNOLOGY (CERT 1 YR)
NURSING-ASSOCIATE DEGREE IN NURSING (ADN)--Additional procedures required to be accepted into the nursing program
Pre-Allied Health (AS)
PRE HEALTH SCIENCE (AS)
PREPROFESSIONAL VETERINARY MEDICINE (AS)
AGRICULTURE-RANGELAND ECOLOGY AND WATERSHED MANAGEMENT (AS)
EDUCATION-SECONDARY AGRICULTURE OPTION (AA)
Education - Secondary Business Option
EDUCATION-SECONDARY (AA)
Education - Secondary Mathematics Option
EDUCATION-SECONDARY PHYSICAL EDUCATION OPTION (AA)
SOCIAL SCIENCE (AA)
VETERINARY AIDE (CERT 1 YR)
VETERINARY TECHNOLOGY (AAS)
WELDING - SPECIALIST (CERT 1 YR)
WELDING AND JOINING TECHNOLOGY (AAS)
WELDING AND JOINING TECHNOLOGY (CERT 1 YR)
WELDING-PLATE (CERT LESS THAN 1 YR)
Activities
None
Women's Volleyball
Women's Basketball
Men's Basketball
Women & Men's Rodeo
Livestock Judging
Livestock Showing
Men's Golf
Women's Golf
High School Information
Remove Entry
Please type in the name of your high school in the field below. A list of schools will display in a dropdown list. Please select your school name from the list.
If you cannot find your school, please type in Not Listed and complete the fields below.
If you have completed your GED, please select GED as your High School Name.
* High School Attended
* Graduation Year
Please complete the fields below if you selected Not Listed in the High School Name field above.
Name of School
City
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ZIP Code
Most Recently Attended School
Organization ID
Education Type
High School
Certificate
Undergraduate
Graduate
Doctorate
Add Another Response
Do you have a specific question? Let us know below!
Previous
Next
Submit
Cancel