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Admissions Information Request Form

Thank you for your interest in Anoka Technical College, where we provide innovative career and technical education to help our students and communities live and learn well. Please complete the form below to receive information about Anoka Technical College. At the bottom of the form you will be asked to provide a username and password for your own personalized VIP page. We encourage you to log into your VIP page to see specific information that matches your education interests. And remember, if you have questions, just ask us!

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Interest Form
Basic Information

Full Name*	First Name Required M.I. Last Name Required
Street Address 1*	Required
Street Address 2
City*	Required
State*	Required
ZIP *	Required
Country*	Required
Preferred Phone Phone*	- - Required
E-mail Address*	E-mail is invalid. Required
Verify E-mail Address
Gender	MaleFemale
Preferred method of communication*	E-MailMailTelephone Required
Are you now serving or have you ever served in the United States Armed Forces?
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Interest Form
Academic History

Click here to find your High School. If you cannot find your high school, click here to type in your information.
High School Name
High School City
High School State
Year of Graduation/GED Completion

Interest Form
Academic Interests

Choose up to three academic programs of interest
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Second choice
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Interest Form
Request More Information

I would like information on the following :
Adult Basic EducationCampus Visit Career CounselingCustomized Training Disability ServicesDislocated Worker Services Financial AidJob Placement Services Multicultural Student CenterScholarships Student Senate/Phi Theta KappaVeteran Services

Interest Form
General Information

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Interest Form
Login Information
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Interest Form
Hidden Attributes

High School Address1
High School Address2
High School Zip
High School Code	Find your code here.

1355 West Highway 10 - Anoka, MN 55303 (763) 576-4700 TTY 711 or TTY 800-627-3529

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