Author: Michelle Mc Evers

Date:_____________________
Name:_________________________________________
Street Address:_________________________________
City:__________________________State:_________________Zip:___________
Home/Cell Phone:_____________________________
Email:__________________________________________
Are you in high school? _____Yes ____No
Year of graduation:______________________
Name of your high school:________________________

Please route to Michelle in RITA and Kris in AME. Thank you.

IT & Computer Programs
(Check programs of interest)
______ Computer Programming
____ Mobile Application
____ Web Development
_____ Computer Science
_____ Network Administration
______ Advanced Networking
______ Cyber-security
Trade and Industry
______ Advanced Manufacturing
_______Computerized Precision Machining
_________Robotics
_______Prototyping & Reverse Engineering
_________Robotics/Automation
_______OTHER

Date:_____________________
Name:_________________________________________
Street Address:_________________________________
City:__________________________State:_________________Zip:___________
Home/Cell Phone:_____________________________
Email:__________________________________________
Are you in high school? _____Yes ____No
Year of graduation:______________________
Name of your high school:________________________

Please route to Michelle in RITA and Kris in AME. Thank you.

IT & Computer Programs
(Check programs of interest)
______ Computer Programming
____ Mobile Application
____ Web Development
_____ Computer Science
_____ Network Administration
______ Advanced Networking
______ Cyber-security
Trade and Industry
______ Advanced Manufacturing
_______Computerized Precision Machining
_________Robotics
_______Prototyping & Reverse Engineering
_________Robotics/Automation
_____OTHER