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College Completion: Member Interest Form
Thank you for your interest in enrolling in IYT College Completion! Please fill out this form and our team will be in touch promptly.
Full Name
*
Phone
*
Email
*
Date of Birth
*
Race/Ethnicity
*
A
American Indian or Alaska Native
B
Asian
C
Black or African American
D
Native Hawaiian or other Pacific Islander
E
Hispanic or Latino
F
White Caucasian
G
Multiple Ethnicity / Other
IYT Region
*
A
Bay Area
B
Central Valley
C
Sacramento
D
Wisconsin
Student ID
Current year in college
*
What is your major/field of study?
*
What is your minor?
Leave blank if N/A
What are your career goals?
*
Shirt Size
*
How did you hear about IYT College Completion?
*
A
Referred by someone
B
At a tabling event
C
Social media
D
Online search
E
Other
What would you like to gain from being a member of IYT College Completion?
*
Community/Brotherhood
Mentorship/Help navigating higher education
Connection to campus resources
Social activities/Fun
Career readiness
Other
Submit