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WITC Online Application


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Apply Now to Wisconsin Indianhead Technical College

Welcome to the Wisconsin Indianhead Technical College online application.  Please complete the form below to apply.

There is a non-refundable application fee of $30 associated with this process that is due before your application will be processed.  Submitting an application for admission and fee does not guarantee acceptance into your program.

You may want to have the following documents/information available before beginning the application process:
  • Debit or credit card
  • Social security number
  • Desired program/major title
  • Which year and semester you wish to begin your program.  Check the WITC Application Dates on this site before you begin: http://www.witc.edu/admissions/apply.htm
  • Name, address and graduation date of high school attended or GED/HSED completion date
A. Legal Name
First Name: * Middle Name:    Last Name: *
Former Last Name(s):
             (if applicable)
  

B. Contact Information
Current Mailing Address:            *
City: * * Zip Code: * Country: *

Permanent Address: (if different)   
City:       Zip Code:    Country:   

Primary Phone Number: * * Secondary Phone:      
E-Mail Address: *

C. Other Demographics
Gender: * Date of Birth (MM/DD/YYYY): * Social Security Number: *
Are you a U.S. Veteran?: * Are you a U.S. Citizen?: * If YES, skip to Legal Residence Question,
                                                                       Are you in the U.S. on a Visa?:   
Do you have a U.S. permanent resident card?:   
                                                                                                         If you are not a U.S. Citizen or permanent resident, provide:
                                                                       Visa Type:    Visa Number:   

Legal Residence:   I am a legal resident of this City/Township/Village: * which is a: *

which is in the county of:

* in this state: *
Name of High School district in which you now reside: *

The following questions are confidential.  Your responses will help the technical college evaluate recruitment and retention practices and
will not affect admission to the college.
Select highest degree earned by either parent:   

The following questions relate to racial and ethnic identity. Please respond to both questions.
1.  Ethnicity: Are you Hispanic or Latino? 
    
A person of Cuban, Mexican, Puerto Rican, South or Central
     American or other Spanish culture or origin, regardless of race.
  
2.  Racial Identity:  Select the racial group or groups that apply to you.
   American Indian or Alaska Native 
 
A person whose ancestors include native peoples of North and South America (including Central America),
  and who maintains a tribal affiliation or community attachment.
   Asian
  A person whose ancestors include native peoples of the Far East, Southeast Asia or the Indian subcontinent (including, for
  example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam).
   Black or African American
  A person whose ancestors include any of the black racial groups of Africa.
   Native Hawaiian or other Pacific Islander 
  A person whose ancestors include the native peoples of Hawaii, Guam, Samoa or other Pacific Islands.
   White
A person whose ancestors include native peoples of Europe, the Middle East or North Africa.
 
D. Campus, Semester and Program Choice
Campus (location) you wish to attend: *
Have you attended this college before? * If attended previously, last year and semester attended:   
Semester/Year you wish to begin: *
Program Choice
Please select the program you wish to apply to from the drop down list here.
(Note: If you are applying for a certificate program, select Certificate Program from the drop-down list. We will contact you regarding the specific certificate you wish to complete).
*
If you are applying to an online program, which campus is nearest to your home address:   
 
E. Education-High School and Post Secondary
Name of the last high school attended:    *
High School City/State City:   * State: *
Are you a High School Graduate? *
H. S. Graduation Date or Expected Grad Date:

Month:

  

Year:

  
Identify highest grade completed:    If Other, please describe:   
Select highest credential received beyond high school:   

If you did not complete high school and receive a diploma, have you completed a (select one)?   
When did you complete your GED/HSED?

Month:

  

Year:

  
  


Please list previous colleges and universities attended (official transcript will be required for credit transfer):

 Name  City  State/Province  Date Attended  Date Graduated
              
              
              
              
 
G. Signature
I certify that the information on this application is true and complete to the best of my knowledge. I understand that typing my name in the box
provided below is the equivalent of placing my signature on a document.
* Date: *
 
H. Application Fee Payment
A non-refundable application fee is required before your application will be processed. You can choose to submit your application form now and pay online, or you can submit your application form and arrange other payment options for this fee.   Until WITC receives this fee, your application will not be processed.   

You do not need to pay an application fee if your application is for one of the following programs:  Emergency Medical Technician-Basic, Nursing Assistant, Certificate, or Dietary Manager.  WITC will contact you regarding application fee payment if follow-up is needed.

 

Payment Choice: 

*
If you elected to pay online, please do not click the submit button unless you are ready to pay with a credit card. Once you click the submit button and progress beyond this screen, you must provide payment information. After clicking the submit button, please do not use the back button on your browser.


Please enter the words you see in the box. If you are not sure what the words are, either enter your best guess or click the reload button next to the distorted words.  Visually impaired users can click the audio button to hear a set of words that can be entered instead of the visual challenge.