COTC Surgical Technology Information Meeting

COTC Surgical Technology Information Meeting

Required for students interested in COTC's Surgical Technology Program
First Name: *
Last Name: *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *
Please verify that your email address is correct. We will send follow up information including the link to virtual meetings to the provided email. The link will be sent to you one day prior to the meeting.
Phone Number *

Area Code Phone Number
How did you hear about the COTC 's Surgical Technology Information Meetings? *
Please describe: *
Which campus will you be attending your information meeting? *

Newark Pataskala Coshocton Knox (Mount Vernon)
Newark Campus Dates:
Pataskala Campus Dates:
Knox Campus Dates:
Coshocton Campus Dates:
Should be Empty: