College and Career Readiness Request for Information

Please complete the form below for more information.

If you are completing this form on behalf of someone other than yourself, please enter their information.

* Denotes Required

Contact/Address Information

First Name *

Last Name *

Birthdate *

Email Address *

Mobile Phone *

Do you want to receive texts from WCTC? *

Yes

No

I authorize text messages to the number above and accept responsibility for any charges incurred. Reply STOP to unsubscribe.

How do you prefer to be contacted?

Email

Phone Call

Text Message

Have you previously attended WCTC? (including Waukesha campus)

Yes

No

What is your education goal at WCTC? *

Earn a GED/HSED

Take English as a Second Language Classes

Improving my basic academic skills

Participate in the Integrated Education & Training Program

Which Integrated Education & Training Program track(s) you are interested in? Select all that apply.

Education

Healthcare

Information Technology

Manufacturing

Which additional support are you interested in? Select all that apply.

English as a Second Language (ESL) instruction

GED, HSED or Adult High School Diploma

Academic support in math, reading or other areas

Timeline to Start

I would like to start:

As soon as possible

1-3 months

3-6 months

Unsure

Is there any additional information you would like to provide?