When would you like to visit us?  Select a Date November 19, 2008 - Day April 8, 2009 - Day May 5, 2009 - Evening

Number of guests (ie. Parents) attending with you? (each student should register individually)

High School Name:

Graduation Year: 
Would you like to request information now? Information Request Form Application for Admission

Are special accommodations needed for any type of disability? Yes No

If so, what type of assistance may we provide?

How did you hear about Central Ohio Technical College? Direct Mail Have always known about COTC Employer E-mail High School Visit Newspaper Insert (flyer) Newspaper Ad Off- Campus Program/Activity On-Campus Program / Activity Phone Book Referral Radio Ad TV Ad Web Other/Unknown

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Zip:

County: (if Ohio Resident) Licking Adams Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Coshocton Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Delaware Darke Defiance Delaware Erie Fairfield Franklin Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox Licking Lake Lawrence Logan Lorain Lucas Muskingum Madison Mahoning Marion Medina Meigs Mercer Miami Monroe Montgomery Morgan Morrow Muskingum Noble Ottawa Perry Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union VanWert Vinton Warren Washington Wayne Williams Wood Wyandot

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Technology of Interest:  Choose a Program BUSINESS PROGRAMS Accounting Business Management -- Business Management -- Human Resource Management -- Marketing/Sales Computer Applications Computer Programming ENGINEERING PROGRAMS Digital Media Design Drafting & Design -- Architectural Design -- Civil Design Electromechanical Electronic HEALTH PROGRAMS Diagnostic Medical Sonography -- Cardiovascular -- General Nursing -- Nursing-ADN -- LPN to ADN Transition Radiographic Surgical Technology -- Accelerated Surgical Technology PUBLIC SERVICE PROGRAMS Criminal Justice Early Childhood Development -- Early Childhood Development -- Teaching Forensic Science Human Services -- Chemical Dependency Counseling -- Social Services Law Enforcement One-Year Certificates -- Medical Office Administration -- Practical Nursing -- Surgical Technology -- Magnetic Resonance Imaging (MRI) COTC Certificates -- Accounting Skills -- Basic Police Academy -- Computer Aided Drafting (CAD) -- Computed Tomography -- Counseling in Chemical Dependency -- EMS Basic -- EMS Intermediate -- EMS Paramedic -- Family Service Worker -- Network Specialist -- PC Repair -- State Tested Nurse Aide (STNA) -- Sterile Processing