Information Request Form
Demographic Data
Name
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Date of Birth
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Address
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City
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State
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Zip
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Telephone
High School
State
E-mail
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example@example.com
Year of high school graduation
Please send information about
(Please check one or more)
Program Information:
Associate of Arts:
Anthropology (Behavioral Science)
Art
Business Administration
Chemistry
Computer Science
Drama
Elementary Education
Engineering
English
General Studies
Geography (Social Science)
Geology
Government (Social Science)
History (Social Science)
Kinesiology
Mathematics
Music
Physics
Pre-Baccalaureate Nursing, Pre-ADN Nursing, and LVN-ADN Transition Program
Pre-Dental Hygiene
Pre-Physical Therapy
Pre-Radiology
Psychology (Behavioral Science)
Sociology (Behavioral Science)
Speech
Associate of Science
Agriculture
Biology
Criminal Justice
Associate of Applied Science Degrees:
Automotive Technology
Business Office Technology
Early Childhood/Child Development
Computer Science - Digital Media
Engineering Design
Electronics Engineering Technology
Emergency Medical Services
Health Information Technology
Human Services
Computer Simulation & Game Development
AAS Computer Science – Network Administration
Track A: Network & Computer System-Admin Specialty
Track B: Information Security – Analyst Specialty
Track C: Cisco Network – Administration Specialty
Track D: Network &System-Virtualization Analyst Specialty
Law Enforcement
Paralegal Studies
AAS Manufacturing Technology
Track A: Mechanical Technician Specialty
Track B: Electrical Technician Specialty
Track C: Instrumentation & Control Technician Specialty
AAS Nuclear Power Technology
Track A: Non-Licensed Operator Specialty
Track B: Electrical Technician Specialty
Track C: Instrumentation & Control Technician Specialty
Track D: Mechanical Technician Specialty
Process Technology
Certificates:
Advanced Emergency Medical Technician (AEMT)
Apprentice Level Air Cond/Heat/Refrig & Electrical
Automotive Technology
Business Office Technology-Administrative Assistant
Business Office Technology-Office Specialist
Computer Science – Digital Media
Computer Science Game Development
Computer Science – Network Support Technician
Cosmetology
Early Childhood
Entry Level Residential Air Condition & Electrical
HITT – Health Data Analyst
HITT - Health Information EHR Support Specialist
Human Services
Manufacturing Technology - Mechanical Technician
Nuclear Power - Electrical Technician
Nuclear Power – Instrumentation & Control Tech
Nuclear Power – Non-Licensed Operator
Paramedic
Police Academy
Vocational Nursing – LVN Prep
Welding Tech – Combination & Pipe Welding
Information on Residence Halls (Dorms)
Financial Aid & Scholarship
Applied to WCJC:
Yes
No
Click to open the
Application for Admission to WCJC
.
Athletic Programs:
Baseball
Rodeo
Volleyball
Fine Arts Programs:
Art
Band
Choir
Drama
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