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Zip Code

Phone Number   (740/389-1212)  

Email address 

Social Security No. (121-12-1212)

Have you attended MTC under another name? No Yes If yes, give that name:   

Which Marion County school did you graduate from?   Select: Select one of the following. Elgin Local School District Marion City School District Pleasant Local School District Ridgedale School District River Valley Local School District

What year did you graduate from this school?   Select: Please select a year below. 2020 2021 2022 2023

Have you obtained an Associate degree (or higher) from any accredited institution of higher education?   Select: Select Yes or No Yes No

Have you completed the Free Application for Federal Student Aid (FAFSA)?  Select: Select Yes or No Yes No

Are you a recipient of one of the following state supported scholarships: Choose Ohio First Scholarship, Ohio Safety Officers College Memorial Fund, War Orphans and Severely Disabled Veterans’ Scholarship Program, or Ohio National Guard Scholarship? Select: Select Yes or No Yes No

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I certify that the information which I have provided is correct. Furthermore, I certify that I am not in default on any Title IV loan made for attendance at any institution and do not owe a refund on any Title IV grant received for attendance at any institution. If I am applying for a scholarship, I give my permission for the Financial Aid Office to review my academic record.

Signature:    Date: 00/00/0000

Marion Technical College provides equal opportunities regardless of race, color, national origin, sex, disability, age,  military status, or sexual orientation.