First Name *
Last Name *
Preferred Name
Email *
Mobile Phone *
Street Address
City
State
Zip Code
Student Type * First Semester/First Year Transfer Student Returning Student PSEO International
Program of Interest * Architectural Technology Arts Audio Production Specialist Auto Body Collision Technology Biology Business Carpentry Chemistry Child Development Communication Culinary Arts Dental Assistant Economics Electronics Technology Emergency Medical Services Engineering Engineering CAD Technology English Speakers of Other Languages Fire Training Fluid Power Technology Ford Asset Healthcare Health Science Individualized Studies Machine Tool Technology Math Medium/Heavy Truck Technology Nursing Assistant Office Careers Philosophy Physics Practical Nursing Psychology Public Works Sociology Undecided Accounting Architecture & Construction Artificial Intelligence Automation Robotics Engineering Technology Automotive Technology Baking & Pastry Cabinetmaking & Wood Product Design Construction Electrician Cyber Security & Defense Database Specialist Emergency, Public, & Social Service Facilities Maintenance Fire Protection Graphic & Web Design Heating, Ventilation & Air Conditioning Human & Social Services Human Resource Management Information Technology Interactive Design & Video Production IT Support Landscape & Horticulture Liberal Arts & Sciences Manufacturing & Engineering Technology Marine, Motorsport & Outdoor Power Equipment Technology Network Administration Peace Officer & Public Safety Plumbing Software Developer Welding & Metal Fabrication Workplace Administration
High School Graduation Year or Projected Graduation Year (if you did not Graduate, please enter "Did Not Graduate" * 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Did Not Graduate
Prospect Source (only complete if new prospect) Prospect Inquiry Form Prospect Phone Call Off-Campus Event On-Campus Event
Source of Recruiter for Interactions Justin Donegan Melody Herr Christina Irvine Danielle Fehring Alexander Al-Najim Kiara Beauxmez Kia Thao Rachel Taran
School
Description
Campus Preference Brooklyn Park Eden Prairie
Class Time Preference Morning Afternoon Evening
How Prospect Heard of HTC Web search Social Media or Digital Ad Radio or TV Ad Billboard Local paper advertisement Friend or relative Other
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