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Please complete this application for admission to Tri-State Semi Driver Training, Inc. This online application will allow us to gather further information about your interests. To schedule a visit to one of our campuses, please contact us.

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Preferences

* Campus Location: Please select an option Middletown Palmer
* What prompted you to contact Tri-State Semi Driver Training, Inc. today?

Please select an option        ↓ I saw a television ad Someone visited my high school I received something in the mail Yellow pages Newspaper ad Radio ad Friend or family referral Other

What benefits are important to you and will help you decide where to pursue your new career?

Please select an option        ↓ Short-term training Training in specific career skills Instructors with proven track records in their industries On-the-job training environment Small classes Financing options available to those who qualify Career services and job placement assistance Reputation in the community

What motivated you to continue your education?

Please select an option        ↓ The opportunity to begin a new career in only a few months The ability to earn increased income To learn more about the career Family/friends encouraged me to go to school Increased job security/stability in a new career Opportunity for growth in a new career

Basic Information

* First Name:
* Last Name:
* Address:
* City:
* State: Select one Outside USA Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist. of Col. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip Code:
* Phone Number:
E-mail Address:

 *

* What is your education level prior to beginning classes at Tri-State?

Please select an option        ↓ Did not complete High School High School Graduate Completed GED Some College Associate Degree Bachelor's Degree Post-Bachelor Degree

* What is your current age? 18-22 23-25 26-30 31-35 36-40 41+
What is your gender?

Male

Female

Employment

Are you currently employed?

Yes

No

If yes, what kind of work do you do?
If you are currently employed, do you work full-time or part-time?

Full-time

Part-time

Know someone who might be interested in Tri-State?

Many of the most successful students will attend school with someone they know. Do you know anyone who may also be considering a change in career?

Name:
Telephone:
Relationship:

Additional Questions or Comments

Type any additional questions or comments you may have here.

I understand by submitting this application for admission that I have not been accepted to the School or in the program identified above. Also, I understand that once my application has been received and reviewed, I will be personally contacted to schedule my admissions interview where I will have the opportunity to provide additional information that may help strengthen my application for admission.

* We respect your privacy! Your contact information will never be used for any purpose other than the School contacting you.

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