TRI-STATE TECHNICAL SCHOOL
210 Laureltown

New Student Application
General Information

Campus
First Name
Middle Name
Last Name
Gender Male Female
Home Phone
Cell Phone
Ethnicity
Birth Date
Street
City
State/Province
Zip/Postcode
Country
Email
Social Security #
Driver's Licence #  (Required)
Program
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Emergency Contact Information

Contact Name
Relationship
Home Phone
Work Phone
Cell Phone



Tuition & Fees Payment Information

Tuition Rate
Payment Method
Payment Plan Full Payment


All tuition and fees will be billed according to this payment plan.



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