NEXT CLASS SESSION STARTS SEPTEMBER 5th

Last Name
First Name
Applications can be submitted at any time, prior to the start date each September. Contact the Admission office for a form or complete this online application to start the process.
Address
Zip Code
City
State
Email Address
Contact Phone Number
Year Graduated
High School Attended
Emergency Contact
Emergency Contact Phone
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VOLUNTARY INFORMATION SECTION

The information requested in this section is not required for admission. Submission of the information is entirely voluntary.

Information submitted voluntarily by the applicant will not affect the applicant’s admission to the school. The information, if supplied, will be used for monitoring equal educational opportunity in the school district. In addition, note that applicants with disabilities may voluntarily self-identify for the purpose of requesting reasonable accommodations during the entire application and admission process.

Applicants who are English language learners or limited English proficient may voluntarily self-identify for the purpose of receiving interpretive services during the entire application and admission process. 


Gender:                                                   Race:
                                                             


Person with a disability:
            Yes
If yes, please describe the accommodations needed during the application for admission process? 



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American Indian or Alaskan Native
Asian or Pacific Islander
Black
White
Combination of Two or More Races
Male
Female
The statements and information furnished by the undersigned in this application form are true and complete. The undersigned applicant’s parent(s)/guardian(s) give permission for representatives of the sending school to release the applicant’s records including, grades, attendance, conduct/discipline records, as well as any other pertinent information that may be required by Maverick Technical Institute for the purpose of admission.