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We’re happy to have you apply online for our training programs! Click here if you’d like to Schedule an Admissions Appointment.

The following information is to be filled out by the applicant. If assistance is required, please request help from an Admissions Representative by calling 215-728-4700.

The information you supply on this form will be shared only with authorized Orleans Technical College staff or funding sources. It will NOT be given to any employers, family members, or other unauthorized persons or organizations.

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Program of Interest*
First Name*
Last Name*
Address*
City*
State*
Zip Code*
Daytime Phone Number*
Work Phone Number
Cell Phone Number*
Email*
How would you like us to contact you?*
- Email
- Phone / Text
Birth Date*
MM slash DD slash YYYY
Gender*
- Male
- Female

Citizenship*
Veteran's Status*
- Veteran
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- Currently Enlisted
Preferred Class Time*
- Day
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A high school diploma is required to attend Orleans Tech. Do you have a high school diploma?*
- Less than HS Diploma
- HS Grad
- GED
- Technical Trade
- Some College
- Associate Degree
- Bachelor Degree
- Master Degree
- Doctoral Degree
Are you in default of any Federal Stafford Student Loan?*
- Yes
- No
Will you require federal financial aid?*
- Yes
- No
Are you registered for Selective Service?*
- Yes
- No
Men between the ages of 18 and 25 must register with Selective Service. Please visit www.sss.gov to check if you are registered for Selective Service or to apply for a Status Letter.
Education*
Name, City and State
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Date Graduated
MM slash DD slash YYYY
Major or Degree
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Orleans Technical College is a program of JEVS Human Services, and an equal opportunity educator and employer.

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