Section Divider

Prospective Student Form



* Please send me information on the following Program(s):

*Date:

* I am interested in attending the:

 

*First Name:

 

*Last Name:

* Address:

 

* City:

* State:
  * Zip Code:

*Home Phone:

 

Alternate Phone:

*Email Address:
   

* Did you graduate from high school?
Yes   No

 

* High School:

* GED Adult Education Needed?
Yes   No
 
* Have you attended Albany Technical College before?
Yes   No  
* Year:
Student ID# (if applicable):
  * Date of Birth:

* Transportation services needed?
Yes   No

 

* Referred by:

*Referred by:

    
Other:

*Instructor:

Download the Albany Tech App



AroundATC