Full Time Application

Full Time Application
Date of Application

MonthDayYear
Date
Full Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Last 4 of SSN
Date of Birth

MonthDayYear
Date
Email
example@example.com
Are you a registered sex offender? * Felony convictions may prevent employment in some career fields taught in this institution.
Please select your highest level of education:
My academic standing of my previous institution was:
Have you ever attended SWTC?
Term in which you plan to enroll? (Year)
Semester in which you plan to enroll?
Session in which you plan to enroll? *LPN Students must enroll full time
Program you wish to enroll
Should be Empty: