General Student Orientation Application *All Fields Required First Name* Last Name* Mailing Address* City* State* —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Zipcode* Cell Phone* SSC Email Address* SSC Student ID Number* Do you need any accommodations?* —Please choose an option—yesno If you need accommodation, please describe: Let us know the area or program you are planning to pursue:* Choose Which Session:* —Please choose an option—January 9 10am (In Person)January 10 4pm (In Person)January 13 1pm (In Person) Are you participating in one of the following programs:* —Please choose an option—WEI Community Health workerWEI Patient Care TechnicianWEI Certified Production TechnicianWEI NursingWEI Barber TechnicianI am not participating in a WEI program I have completed the FAFSA, Placement Testing, and Online Orientation. Please leave this field empty.
