Student Information

First Name

Last Name

Personal Email

Cell Phone (xxx) xxx-xxxx

Providing your cell phone enables us to call or text with an event reminder.

Year of High School Completion

High School attended/currently attending, or GED/HSED.

Please indicate Sheboygan or Manitowoc, if applicable to school name.

How would you like to visit LTC?

What program would you like to learn more about?

Comments?