Readmission for Returning Students

GENERAL INFORMATION

Anticipated Enrollment Term * Summer 2023 Fall 2023 Spring 2024 Summer 2024 Fall 2024 Spring 2024

Last 4 of Social Security Number

First Name *

Last Name *

Phone *

Email *

Gender * Male Female I Choose not to Respond

Birthdate *

Please select your new program of study. You should only choose one program from the options below. All active programs (unless stackable) will be removed. Contact the records office at records@triton.edu if you have program questions.

Certificate

Associate in Arts Degree

Associate in Science Degree

Associate in Applied Science Degree

Associate in General Studies Degree

HOME ADDRESS

Address *

Apartment/Unit

City *

State *

Zip Code *

RACIAL/ETHNIC
NOTE: This information is requested solely to determine compliance with federal civil rights law, and your response will not affect consideration of your registration. By providing this information, you will help assure that this program is administered in a non-discriminatory manner.

Are You Hispanic or Latino (Or are You of Spanish Origin)? * Yes - MOSTLY Hispanic or Latino (or of Spanish Origin) Yes - SOME Hispanic or Latino (or of Spanish Origin) No - NOT AT ALL Hispanic or Latino (or of Spanish Origin) I Choose not to Respond

Are You from One or More of the Following Racial Groups? * (Select ALL that apply from the first five check boxes OR Select "I Choose not to Respond" check box ONLY) American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Pacific Islander White I Choose not to Respond

Which one of the Racial Groups you selects above is your Primary Race? * American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Pacific Islander White I Choose not to Respond

Please note: Captcha is case-sensitive

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