2025 REGISTRATION FORM

2025 REGISTRATION FORM
Which Semester are you enrolling in?*

Spring 2025 (Classes begin April 2025)Summer 2025 (Classes begin June 2025)
Do you live in Memphis?*

YesNo
What Training are you interested in;*

Telecommunication (Fiber Optic) Technician ApprenticeshipHVAC Technician ApprenticeshipPlumbing Technician ApprenticeshipElectrical Technician ApprenticeshipCybersecurity / Comp TIA Security +Paralegal/Legal AssistantBusiness Development CohortCybersecurity ApprenticeshipDigital Design
Education*

I'm in10th gradeI'm in 11th gradeI'm in 12th gradeI am a High School GraduateI am a GED Recipient
Name*

First NameLast Name
Take Photo*
Race/Ethnicity*
Gender*

MaleFemale
Date of Birth*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Cell*

Area CodePhone Number
Home*

Area CodePhone Number
Emergency Contact
Name*

First NameLast Name
Relationship to student*
Phone Number*

Area CodePhone Number
Email
example@example.com
Should be Empty:

Emergency Contact