20902 Washington Street P.O. Box 241 Onaway, MI 49765

Application for Admission
General Information

Campus
First Name
Middle Name
Last Name
Street
City
State/Province
Country
Zip/Postcode
Cell Phone
Home Phone
Email
Birth Date
Start Term  (Required)
Name of last High School attended (or current)  (Required)
Graduated from High SchoolYes    No    Not Selected  (Required)
Year  (Required)
Are there any special accommodations/circumstances you would like us to be aware of?  (Required)
Signature Date  (Required)
Gender Male Female
How did you hear about the Industrial Arts Institute?  (Required)
Program (Required)


Emergency Contact Information

Contact Name
Relationship
Home Phone
Work Phone
Cell Phone


Disability Information

DisabilityYes NoNot Selected
Disability Description
Learning DifficultiesYes NoNot Selected
Learning Difficulties Description



This information on this application is accurate. I understand that providing false information could lead to disciplinary action, including dismissal.


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