subject_line
Schedule a Tour
PERSONAL INFORMATION
First Name
*
Last Name
*
Current Mailing Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Cell Phone Number
Cellular Provider
ATT
Boost Mobile
Cricket Wireless
Family Talk Wireless
H20 Wireless
NET 10 Wireless
Nex-Tech Wireless
Ready Mobile
Sprint
Straight Talk
T-Mobile
Total Wireless
TracFone
US Cellular
Walmart Family Mobile
Verizon
Virgin Mobile
Other
Text
Yes
No
Email Address
*
PROGRAM/COURSE INFORMATION
Is this an individual tour or group tour?
*
Individual
Group Tour
How many people are wanting a tour?
*
When are you looking at starting classes?
*
🛈
Summer 2020
Fall 2020
Spring 2021
Summer 2021
Fall 2021
Spring 2022
What program(s) would you like to tour... (select all that apply)?
*
Full Campus Tour
Allied Health Programs (CNA, CMA, EMT, etc.)
Automotive Collision Repair
Automotive Technology
Business Administrative Technology
Commercial Truck Driving
Computer Aided Drafting
Construction Technology
Dental Assistant
Diesel Technology
Electrical Technology
HVAC
Machine Tool Technology
Medical Assistant
Nursing (LPN)
Nursing (RN)
Welding Technology
When selecting a date and time, please be mindful evenings and weekends are not an option.
What day are you wanting a tour?
*
+
What time works best for you?
*
9:00am
9:30am
10:00am
10:30am
11:00am
11:30am
2:00pm
2:30pm
3:00pm
3:30pm
My specific time is not listed....
What specific time works for you?
*
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