TJC Admissions Inquiry Form
Who is completing this form?
Student
Parent/Guardian
Counselor or Teacher
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Your Name:
*
First Name
Last Name
Your Email:
*
example@example.com
Your Phone Number:
*
-
Area Code
Phone Number
Your Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
State
Zip Code
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High School Name:
*
Your Title:
*
High School Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Grade Level
*
9th
10th
11th
12th
Graduated
Student's Name
*
First Name
Last Name
Student's Email:
*
example@example.com
Student's Phone:
-
Area Code
Phone Number
Student's Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you applied to TJC?
*
Yes
No
Are you still in High School?
*
Yes
No
What grade are you in currently?
*
9th
10th
11th
12th
Anticipated Start Term:
*
Spring 2023
Summer 2023
Fall 2023
Spring 2024
Summer 2024
Fall 2024
Spring 2025
Summer 2025
Fall 2025
Academic Interest
Art
Automotive Technology
Biology
Business
Business Management
Certified Dental Assisting
Chemistry
Child Development/Early Childhood
Communications
Computer & Networking Information Technology
Computer Science
Criminal Justice
Culinary Arts
Dance
Dental Hygiene Associate's
Dental Hygiene Bachelor's
Diagnostic Medical Sonography
Diagnostic Medical Echocardiology
Economics
Education
Electrical/Electronic Controls Technology
Emergency Medical Services Professions (EMT and Paramedic)
Engineering
Engineering Design Technology
English
Fire Protection Technology
Game and Simulation Development
Geology
General Studies
Government
HVAC/Refrigeration
Health Information Technology
Healthcare Administration
History
Human Performance
Human Services
Humanities and Philosophy
Industrial Maintenance Technology
Kinesiology & Human Performance
Mathematics
Medical Laboratory Technology
Medical Office Management
Music
Nursing, Associate Degree
Nursing, Vocational (VN)
Occupational Therapy Assistant
Ophthalmic Medical Assisting
Paralegal
Physical Therapist Assistant
Physics
Power Plant Technology
Psychology
Public Administration
Radiologic Technology
Real Estate
Respiratory Care
Sciences
Sign Language Interpreting
Social Work
Sociology
Speech
Surgical Technology
Surveying & Geomatics Technology
Theatre/Musical Theatre
Veterinary Technician
Visual Communications
Welding Technology
Extra Curricular
Apache Band
Apache Belles
Athletic Teams
Debate Team/Forensics
Phi Theta Kappa
Presidential Honors Program
Other
Sport
Athletic Training
Baseball
Men's Basketball
Women's Basketball
Football
Men's Golf
Women's Golf
Softball
Men's Soccer
Women's Soccer
Men's Tennis
Women's Tennis
Volleyball
Questions or Comments (Optional):
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Should be Empty: