Information Request Form
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320 West 31st Street
New York, NY 10001

Call Toll Free
1-866 TCICOLLEGE         (1-866-824-2655)
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Please fill out and submit the form below or email us at  admissions@tcicollege.edu

Name:
Address:
City: State:
Phone:
Zip Code:
Email:
Date of Birth (mm/dd/yy): / /
How did you hear about TCI 
Are you a High School graduate? yes    no
If no, have you obtained a GED? yes    no
Date of graduation or GED: Month Year
If currently attending high school,
 enter scheduled graduation date		 Month     Year
Have you completed any previous college study? yes    no

If you have a degree beyond high school, please indicate which degree:  
Which program of study are you interested in? Check all that apply.
BMTS - Building Maintenance Technology -  (A.O.S.)  
DMA - Digital Media Arts -  (A.A.S)
EET - Electronics Engineering Technology - (A.A.S.)     
ESS- Electronics Security Systems -  (A.A.S.)     
HVACR - Heating, Ventilation, Air Conditioning & Refrigeration Technology -  (A.O.S.) 
IENET - Industrial Electronics  and Networking Technology (A.A.S.) - Double Major 
IETC - Industrial Electronics Technology - Computer Technology Track - (A.O.S.) 
IETT - Industrial Electronics Technology - Telecommunications Track - (A.O.S.) 
IETR - Industrial Electronics Technology - Railway Electronic Systems Track -  (A.A.S.)
NET -  Networking Technology - Associate Degree (A.A.S)
OT -   Office Technology, General Office Track -  (A.A.S.) 
OTA - Computerized Accounting Systems Technology -  (A.A.S.)
OTM - Office Technology, Medical Office Track -  (A.A.S.) 
Undecided