Enrollment Application

Fields with * are required.

Demographics

First Name:*
Student Birthdate:*
Your High School:*
Your Address:*
Father Email:*

2

Last Name:*
Graduation Year:*
If Other High School:
Students Email:*
Mother Name:*
Mother Phone #:*
-
Father Phone #:*
-

3

Gender:*
Anticipated Start Date:*
Students Counselor:*
Student Phone #:*
-
Mother Email:*
Father Name:*
Transporting to KTEC via:*

Courses

Course Preference:*
Second Choice:

2

Session Preference:*
Second Choice Time:

2

In case 1st choice is full pick a 2nd choice.

2nd Year KTEC student?:*

Note: Additional registration steps for Private, Online, and Home School students. Submit application and contact KTEC for more information.

Word Verification: