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Personal Information


Privacy Act Notice:
The College confidentially maintains your Social Security Number(SSN) or Individual Taxpayer Identification Number(ITIN) for routine uses such as, facilitating document matching, verifying your identity, and expediting your enrollment and financial aid. Disclosure of your SSN or ITIN is voluntary, but failure to provide your SSN or ITIN may result in confusion regarding your identity, and once admitted, could result in delay or loss of federal and state financial aid, tax credits, student loan deferments, veteran benefits, and other benefits under law. If you do not wish to disclose your SSN or ITIN number on this form, or if you do not have an SSN or ITIN number, please contact the college for assistance in completing your application.
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Contact Information

Please enter your current residential address or the primary address where you receive mail.



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Demographic Information

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Additional Information





The following information is used in applying for grants and in allocating federal funding through the Carl D. Perkins Vocational and Technical Education Act, Public Law 105-332 for educational institutions. Funds from this program can be used for a broad range of programs, services, and activities designed to improve career technical education programs and ensure access to students who are members of populations with special needs.


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Finish Application

Password:

The following password will be used to login to the Portal.

  • Password must be at least 8 characters.
  • Password is case sensitive.
  • Avoid using the same password for multiple sites.

  • By completing this application, I confirm that I understand and agree that I will be jointly enrolled at
    Southwest Technical College and Southern Utah University, I will be receiving credit at Southern Utah
    University, at no charge to me, for any coursework that I complete at Southwest Technical College, which meets the dual enrollment partnership requirements; and that I understand and give my permission for Southwest Technical College and Southern Utah University to share my educational records with each other to facilitate the granting of university credit and related purposes.
  • I further understand that I may complete this application, and then opt out of involvement with the dual enrollment agreement between Southwest Technical College and Southern Utah University at any time. I understand that the procedure to opt out of involvement is to complete a written form at Southwest Technical College Student Services. I understand that if I opt out, I will NOT receive the free university credit at Southern Utah University for the work that I do at Southwest Technical College, and that Southwest Technical College will NOT share my educational records with Southern Utah University for this purpose.

Please review all information above and make sure the information you entered is correct before submitting.

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