SAM Tech Application for Admission

Online Application for Admission

First Name

Last Name

Street Address

State/Province

Country

City

Zip/Postal Code

Phone/Mobile

Date of Birth

Driver's License #

State (driver's license)

Do you live with your parents?

Yes

Are you a high school graduate?

Yes

Year graduated

Name of school, city and state

Do you have a GED?

Yes

Name of center, city and state

Attended any school past high school?

Yes

If YES, name of school, city and state, program studied

Do you have a vocational handicap?

Yes

Describe briefly

Have you ever received any type of financial aid?

Yes

Name of school

Type of aid

Have you ever been convicted of a felony? (Conviction will not be an absolute bar to enrollment)

Yes

Why would you like to attend the School of Automotive Machinists & Technology?

If accepted for training, what starting date would you prefer?

How did you hear about SAMtech?

How will tuition be paid?

Financial aid

Other

SAM TECH SUPPORTS A DRUG-FREE ENVIRONMENT

In support of a drug-free environment, and as a condition of my acceptance to the School of Automotive Machinists & Technology, I agree to participate in the School's Random Drug Testing Program. I understand that a publication fully explaining the Random Drug Testing Program will be made available to me during my new student orientation activity at the campus. For additional information, contact the School Director.

I hereby affirm that the above information is true and complete, and I agree to comply with SAM Drug-Free Policy

Yes

By clicking the Submit button I am providing my electronic signature and express written consent agreement to permit SAM TECH (School of Automotive Machinists & Technology), and parties calling on its behalf, to call and text me at the number provided for marketing purposes, including through the use of automated technology and prerecorded and/or artificial voice messages. Standard message and data rates may apply. Signing up is not a condition of receiving educational services. Text STOP to opt-out or by contacting the school at opt-out@samtech.edu .

SAM Tech Application for Admission

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