Outreach Form Testing - Rosedale Technical College

Name(Required)

First Last

Mobile Number(Required)

Do you give us permission to contact you at the number provided?(Required)

Email(Required)

Street Address

Street Address Address Line 2 City State Zip Code

Birthday

Gender

Male

Female

Other

Prefer not to disclose

Program of Interest(Required)

I am interested in more than one program(Required)

Yes

Program(s) of Interest (Check all that apply)(Required)

Automotive

Carpentry

Collision Repair

Diesel

Electrical

HVAC

Truck Driving

Welding

Undecided

How interested are you in pursuing a trade/attending Rosedale Technical College?(Required)

Sounds cool, but I’m just scrolling.	I could see myself Doing this.	This is 100% my next move!

Anticipated High School Graduation Year(Required)

High School(Required)

Career and Technical Center/Vo-Tech (If Applicable)

I am interested in scheduling a tour at Rosedale Technical College(Required)

By submitting this form, you confirm that you own the contact information you provided and give Rosedale Technical College permission to reach out to you by phone, text, email, or mail about the College until Rosedale Tech is notified otherwise.