MT TRAINING CENTER APPLICATION FOR ADMISSION

MT TRAINING CENTER APPLICATION FOR ADMISSION
OFFICE OF ADMISSIONS

1801 S. GREAT SOUTHWEST PARKWAY GRAND PRAIRIE, TX 75051

Website: www.mttraining.org

Number: 972-262-5395
PLEASE PRINT OR TYPE, USE DARK INK
Date of Application
Name

First NameMiddle NameLast NameSuffix Jr Sr III
Student Information
US Social Security Number
Birth Date
What is gender?

MaleFemale
Address Information
STUDENT PERMANENT HOME ADDRESS
Street Name
City
State
Country
Zip Code
Mailing Address
Street Name
City
State
Zip Code
Country
Phone Number and Email Address:
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Emergency Contact Information
Person 1

First NameLast Name
Phone Number
Please enter a valid phone number.
Person 2

First NameLast Name
Phone Number
Please enter a valid phone number.
Citizenship Information:
Citizenship Information

US CitizenUS Permanent ResidentNon Us Citizen
Country of Birth
Country of Citizenship if not US
Texas Resident Status
Are you a Texas Resident?

YesNo
Years
Months
NonResident
Ethnicity
Hispanic/Latino or Non-Hispanic?

Hispanic/LatinoNon-Hispanic
Race Information- (Race information is voluntary and is requested for reporting purposes only, in accordance with the 1964 Civil Rights Act as amended (U.S. Citizens Only)
What is your race?

WhiteHispanic/LatinoNative Hawaiian or Pacific Islander (indicate Tribe of Enrollment)Indian or Alaska NativeBlack or African-AmericanAsian
(Please list your American Indian or Alaskan Native Tribal Affiliation in the space provided and submit a copy of your tribal membership card to the Office of Admissions for the purpose of eligibility for programs and services)
Educational Program of Choice
Pick only one program you're interested in.
What program are you interested in?

Administrative AssistantAdvanced CDL Training for the EntrepreneurTruck DrivingCDL Prep ProgramBarberingCosmetologyCombination WeldingComputerized AccountingComputerized Accounting DistanceGunsmithingMedical Front OfficeABE (pre-vocational training)ESL (pre-vocational training)GED (pre-vocational training)Day Classes PreferredEvening Classes PreferredBusiness Office Specialist
What is your education level?

Less than high schoolCurrently in high schoolCertificate of High School completionOfficial high school diplomaGED passedSome college creditsAssociate's degreeBachelor's degree or higher
High School Information
Name of High School
City and State of High School
Graduation Date
City and State of High School
Name of High School
City and State of High School
College Information
Graduation Date

MonthDayYear
Date
Name of Institution
Name of Institution
City and State of College
City and State of College
Disclosure - (this section is mandatory. Failure to complete fully may either delay your application or affect your enrollment status should you be enrolled.)
Are you a US Veteran?

YesNo
Have you ever been expelled from a high school?

YesNo
Have you ever been expelled or suspended from a college or university as a result of a NON-Academic issue?

YesNo
Are you currently under a felony indictment?

YesNo
Have you ever been convicted of a felony charge?

YesNo
Have you ever entered a plea of guilty or nolo contendere?

YesNo
Have you ever received a suspended/deferred sentence to a felony charge?

YesNo
Have you ever had a protective order issued against you?

YesNo
DISCLOSURE - This section is mandatory. Failure to complete fully may either delay your application or affect your enrollment status should you be enrolled. Have you ever been expelled from a high school? Have you ever been expelled or suspended from a college or university as a result of a NON-ACADEMIC Yes No issue? Are you currently under a felony indictment? Have you ever been convicted of a felony? Have you ever entered a plea of guilty or nolo contendere? Have you ever received a suspended/deferred sentence to a felony charge? Have you ever had a protective order issued against you? If you answered YES to any of the above questions, please write a description of the circumstances on a separate paper and submit to the Office of Admissions with your application. No decision will be made on your application until you have provided this documentation.

I affirm by my signature that I have furnished all information requested in this application. I understand that submitting any false information to the MT Training Center, including but not limited to: false transcripts, test scores or any information contained on this form, or withholding information about my previous academic history will make my application to the MT Training Center, as well as any future applications, subject to denial and/or expulsion from the school.
Applicant Signature

Clear
Date of Application

MonthDayYear
Date
Not Applicable - I am not required to register with Selective Service

MT Training Center - Application for Admission - Revised 09/01/2021
Should be Empty:

MT TRAINING CENTER APPLICATION FOR ADMISSION

PLEASE PRINT OR TYPE, USE DARK INK

Address Information