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Register to Visit Southwest Tech

Program Visit Day:

April 2, 10:00 am - 2:00 pm

Please complete the fields below, and hit "submit." Fields marked with an asterisk * are required.

Contact Information

* First Name

* Last Name

* Email Address

* Confirm Email

* Mailing Address

* City

* Zip

* Phone

* Date of Birth (mm/dd/yyyy)

Registration Information

* High school graduation year

* High school attended

* Name of High School

* Program of interest:

Second Choice:

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