Ohio Work Ready Grant
For first time students enrolled in one of the following programs:

Last Name

First

Address

City 

State Ohio Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Guam 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 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   (740/389-1212)  

Email address 

Social Security No. (121-12-1212) (Optional)

Academic Curriculum Select One Business Management Business Management - Accounting Option Business Management Certificate Business Management – Cosmetology Option (degree completion) Business Management - Real Estate Option Business Management – Supply Chain/Logistics Management option Certified SolidWorks Associate (Micro-certificate) Computer Fundamentals (Micro-certificate) Computer Network Certificate Cyber Analyst Certificate PLC Operations (MicCyber Network Certificatero-certifcate) Cyber Security and Networking Diagnostic Medical Sonography Electrical Engineering Technology FANUC Robotics (Micro-certificate) Health Information Technology Industrial Robotics (Micro-certificate) Law Enforcement Mechanical Engineering Technology Medical Billing and Coding Certificate Medical Lab Technology Networking (Micro-certificate) Networking Cisco Option (Micro-certificate) Nursing – BSN Nursing – RN Ohio Peace Officer Training Academy (OPOTA) Certification Phlebotomy (Micro-certificate) Physical Therapy Assistant PLC Operations (Micro-certificate) Radiologic Technology Real Estate (Micro-certificate) Robotics Certificate Semiconductor Manufacturing (Micro-certificate) Smart Manufacturing Technology Software Development Sterile Processing (Micro-Certificate) Surgical Technology Web Development Certificate

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

High School/JVS name:   

GPA (4.0 Scale):   

By checking this box, I hereby release my photo and information to be used in any way to promote the college, scholarships and the Marion Technical College Foundation.

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.