Automotive Technology Interest Form

First Name *

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Birthdate *

Program(s) of Interest * (Select ALL which Apply) General Automotive General Motors Honda PACT Diesel

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Student Status * (Select Option below which Best Describes You) Student (Age 18-25) Adult Student (Age 26+) Parent of Student High School Student Other (Specify in Comment Section Below if Needed)

Semester You Intend to Enroll * Spring 2024 Summer 2024 Fall 2024

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Automotive Technology Inquiry