Admissions - Dakota County Technical College

Interest Page 3.0

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Please fill out the fields below and submit the form. Some information is required and marked with asterisks. You will not be able to submit the form without filling the required fields. Please make sure that Email and Verify Email should match with each other.

Basic Information

Full Name

First Name *

Middle Name

Last Name *

Country *

Address Line 1 *

Address Line 2

City *

State

International State/Province

Zip

Phone *

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Mobile Phone

E-mail *

Verify E-mail

DOB

Have you served in the military?

Enrollment Information

Student Type *

My Primary Program of interest is: *

My Secondary Program of interest is:

I would like to begin: *

My educational goal is: *

High School Information

High School Name

High School City

High School State

HS Year of Graduation

College Information

College Name

College City

College State

Hidden Attributes

High School Code

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High School Address1

High School Address2

High School Zip

College Code

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College Zip

Request Info Source / Marketing Source

Basic Information

Enrollment Information

High School Information

College Information

Hidden Attributes

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