10.07.2015 Views

Diesel Powered Equipment Technology - Illinois Central College

Diesel Powered Equipment Technology - Illinois Central College

Diesel Powered Equipment Technology - Illinois Central College

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Revised October 13, 2006Training For SuccessP<strong>Equipment</strong>DIESELOWEREDILLINOIS CENTRAL COLLEGE<strong>Diesel</strong> <strong>Powered</strong> <strong>Equipment</strong> <strong>Technology</strong> (DPET)Application for PROGRAM AdmissionNote to student applicant: In addition, you must complete an <strong>Illinois</strong> <strong>Central</strong> <strong>College</strong> application.Today’s Date: _________________________Complete Legal Name: __________________________________________________________________Number and Street: _____________________________________________________________________City: ________________________________ State:_________________ Zip: _______________Home Phone: _______________________________( )AREA CODELAST FIRST MIDDLECell Phone ______________________________( )AREA CODEEmail: _________________________________________________________________________________Social Security Number: _____ _____ _____ –– _____ _____ –– _____ _____ _____ ____High School Attended: ___________________________ Month/Year Graduated: _____________Please print legibly in response to each of the following questions.1. Why do you want to enroll in the <strong>Illinois</strong> <strong>Central</strong> <strong>College</strong> DPET Program?____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________2. What career path do you hope to pursue following graduation of the ICC DPET program?________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!