Information Request Form

Marion Technical College

Information Request Form

( * Required Data )

*Last Name *First *MI

*Address

*City

*State

*Zip Code

*Country

*Phone Number (740/389-4636)

Email address

Social Security No. (121-12-1212)

*High School

*Graduation Year

*Majors and Programs

2nd Choice Majors and Programs

I would like to visit MTC

PSEO

Financial Aid

Transfer Module

Marion Law Enforcement Academy

ASAP (Business Management Only)

*Start Quarter

*Start Year

Questions or other information needed:

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