Your Dual Credit application is for which semester?
Personal Information
First Name:
Last Name:
Date of Birth:
If you choose not to provide your Social Security Number, this will impact your year end tax reporting. Mitchell Tech will not provide you with an IRS 1098-T form.
Select Yes to enter your social security number.
Social Security Number:
Citizen Of:
Address Line 1:
Address Line 2:
City:
State:
If you are a South Dakota resident, please select your county:
Zip Code:
Personal Email Address:
School Email Address (K12 Email Address):
Parent's Email Address
School Counselor's Email Address
Mobile Phone Number:
By listing this number, you agree to allow us to send you text messages. You may opt-out by replying STOP to any message sent.
High School Attending:
Graduation Year:
High School City:
High School State:
Are you interested in attending Mitchell Tech?
If so, what program?
Have you applied?
The following information is regarded as VOLUNTARY. The statistical data helps us maintain accurate records and provides accurate demographic information to various funding and governmental entities, but does not affect acceptance into Mitchell Technical College.
Gender:
Marital Status:
Race
Ethnicity
Directory of Enrollment
SSN
CandidacyType
DIV Code
Current Candidacy
Stage
Load Type - PF
Degree Code
ProgramCode