Prospective Students

Contact Information

Form fields marked with an asterisk (*) are required

* First Name

Middle Name

* Last Name

* Email Address

Phone

Street Address

Street Address 2

Street Address2

City

State

Zipcode

Enrollment Information

Program Code

Campus

Additional Information

Comments

HS Grad Year

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ICTC Adult Ed Application *Download PDF Here*

Please Download the PDF and complete the *required items. When finished, click Submit or Print out the form in hard copy to return to ICTC with $40 application fee. You may also call 724-349-6700 ext 131 to pay the admission fee via credit card. We look forward to hearing from you. Thank you!

ICTC Practical Nursing Application *Download LPN PDF Here*