New Students

Interested in being a student? Please complete the form for more information.

Name *

First

Last

Date of Birth

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Current High School / Last High School Attended

Highest Grade Level Completed

Do you have your High School Diploma or GED?

Have you registered with Michigan Works for WIOA training?

For funding using your ITA account, you will need to contact your local Michigan Works Office to attend WIOA training orientation.

Which program are you interested in?

Production & Manufacturing Technology (Approved DOL Pre-Apprenticeship Curriculum)
Pre-Apprenticeship for Insurance Professionals
Intro to Supply Chain Logistics & Warehousing
Digital Marketing Technology Program
Customer Service Representative Program
Forklift Training Only
OSHA 10 Card Only

How soon can you start? *

Are you currently employed? *

Who is your current employer?

How did you hear about us?

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Date / Time

Date

Time

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