Waukesha County Technical College

    Request for Information

    Date of Birth *
    Date of Birth *
    Contact Information
    Address *
    Address *
    Race/Ethnicity
    Are you Hispanic or Latino? *
    Are you Hispanic or Latino? *
    Regardless of your answer to the prior question, please select all you identify with: *
    Regardless of your answer to the prior question, please select all you identify with: *
    Questions/Comments