The following questions are confidential. Your responses will help the technical college evaluate recruitment and retention practices and will not affect admission to the college. 16. Select highest degree earned by either parent: None Bachelor's degree High school diploma Associate degree Master’s or beyond 17. The following questions relate to racial and ethnic identity. Please respond to both questions. 17a. Are you Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin, regardless of race)? Yes No 17b. Select any other group or groups that apply to you. American Indian or Alaska Native. A person whose ancestors include native peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.  Asian. A person whose ancestors include native peoples of the Far East, Southeast Asia or the Indian subcontinent (including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam). Black or African American. A person whose ancestors include any of the black racial groups of Africa. Native Hawaiian or other Pacific Islander. A person whose ancestors include the native peoples of Hawaii, Guam, Samoa or other Pacific Islands. White. A person whose ancestors include native peoples of Europe, the Middle East or North Africa. APPLICATION FOR ADMISSION PLEASE PRINT CLEARLY IN INK You can also apply online: wistechcolleges.org 18. I wish to attend 19. Have you attended this college before? Yes No If yes, last year and semester attended 20. List previous colleges and universities attended (official transcript will be required for credit transfer) College/University Name City State/Province Date Attended Date Graduated College/University Name City State/Province Date Attended Date Graduated 21. Please provide the semester you wish to begin: Fall Spring Summer (if applicable) Year 22. Program/major choice 23. Are you a high school graduate?   Yes   No If yes, date of graduation (month/year) 24. Name of last high school attended 25. If you did not complete high school and receive a diploma, have you completed either the GED Tests? Yes No or HSED? Yes No If yes, date completed (MM/YY) 26. Select the highest credential received: No credential (No GED or higher) High school diploma 1-year diploma Associate degree plus additional credential GED Some college (postsecondary credit) 2-year diploma Bachelor’s degree HSED Short-term diploma Associate degree More than Bachelor’s degree 27. I certify that the information on this application is true and complete to the best of my knowledge Rev 2017-2018 Technical College at 9. Social Security Number 10. Date of Birth (MM/DD/YY) 11. Gender: Male Female 12. Are you a U.S. Veteran, Active Duty Armed Service Member, or a current member of the National Guard or Reserve? Yes No 13. Are you in the U.S. on a Visa? Yes No 13a. If yes, Visa Type Visa No. 14. I am a legal resident of (circle one): City / Village / Town 14a. City/Village/Town County State 15. Name of high school district in which you now reside: 1. Legal name: Last First Middle 2. Former last name(s) (if applicable): 3. Current mailing address: 4. City: State: Zip Code: 5. Permanent address (if different): 6. City: State: Zip Code: 7. Primary phone number ( ) Secondary phone number ( ) 8. E-mail address WISCONSIN’S TECHNICAL COLLEGES Program number (if known) Signature Date Test Center City State Application_pages 32-35_WTCS_2017-18 FINAL.indd 33 7/24/17 7:48 AM