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Campus Visit Form

Name:
Address:
City:	State :	Zip :
Country:
Home Phone:
Alternate Phone:
E-Mail:


High School College
Name of School:
Graduation Year:
Date of Birth:
Date you would like to Visit:
Time you would like to Arrive: (For special arrangements contact the Admissions Office at campusvisits@mtech.edu)


Areas of study you are interested in:
I would like to talk to a faculty member about the following academic area(s):
COLLEGE OF ENGINEERING & SCHOOL OF MINES
	General Engineering
	Options:
	Occupational Safety & Health
	Options:
	Geophysical Engineering
	Metallurgical & Materials Engineering
	Petroleum Engineering
	Environmental Engineering
	Geological Engineering
	Mining Engineering
	Electrical Engineering

COLLEGE OF LETTERS, SCIENCES AND PROFESSIONAL STUDIES
	Mathematical Sciences
	Options:
	Biological Sciences
	Chemistry
	Computer Science
	Health Care Informatics
	Software Engineering
	General Science
	Registered Nurse
	Business & Information Technology
	Bachelor of Applied Science
	Network Technology
	Professional & Technical Communication
	Liberal Studies

COLLEGE OF TECHNOLOGY
	Business Technology
	Options:
	Accounting Technology
	Options:
	Certified Nurse Assistant
	Behavioral Health Nurse Assistant
	Network Technology
	Web Development & Administration
	Metals Fabrication Technology
	Drafting Technology
	Automotive Technology
	Pre-Radiologic Technology
	Pre-Surgical Technology
	Civil Engineering Technology
	Construction Technology/Carpentry
	Historic Preservation Technology
	Lineman Certificate

Do you want a tour of the campus (Montana Tech, north campus)?
Yes No

Would you like to visit with someone from the Student Assistance Foundation regarding financial aid and scholarships?
Yes No

Will anyone else be with you for your campus visit?

How many will be with you on your visit?

Admit Type:

Comments:

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