Junior Preview Day Registration - State Technical College of Missouri

Please complete the form below to register for 2019 Junior Preview Day.

First Name*

Middle Name*

Last Name*

Social Security Number-Optional

Address*

Street Address City State ZIP Code

County*

Email*

Phone*

Cell Phone

Gender

Birth Date

High School Name:

Expected Graduation Date:

Number (including students) attending Junior Preview Day:

Do you plan to eat the FREE lunch on Campus (Yes or No)?

Personal Profile:

Semester of interest:

Please select a major. You may make only one choice.*

Note: If you are interested in touring our off campus program please contact the programs directly.

Advanced Manufacturing Technology Lewis & Clark Career Center, St. Charles, MO 636-443-4988

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