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Academic Honor Society Application
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Academic Honor Society Application
Name
(Required)
First
Last
Student ID Number
(Required)
If you have forgotten your ID Number
, you can
look it up here
.
Email
(Required)
Date of birth
(Required)
MM slash DD slash YYYY
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Degree program
(Required)
Select one:
ABC Carpentry Apprenticeship
ABC Construction Electrician Apprenticeship
Accounting
Accounting Assistant
Administrative Coordinator
Administrative Medical Assistant Coordinator
Advanced Emergency Medical Technician
Advanced Industrial Maintenance Certificate
Advanced Office Software Suite Certificate
Agribusiness Science and Technology
Agriculture Technician
Architectural Technology
Artisan Baking Certificate
Auto Maintenance Technician
Automotive Technician
Automotive Technology
Basic Industrial Maintenance Certificate
Bookkeeper
Business Analyst
Business Management
Child Care Services
Chiropractic Technician Certificate
CNC Set-Up/Operator Certificate
Computer Numerical Control Certificate
Cosmetology
Cosmetology Apprenticeship
Counselor Training for Gambling Addiction Certificate
Criminal Justice
Culinary Arts
Culinary Assistant
Diagnostic Medical Sonography
Die Design Certificate
Early Childhood Administrative Credential Certificate
Early Childhood Education
Early Childhood Preschool Credential Certificate
Electrical Power Distribution
Electricity
Electromechanical Technology
Emergency Medical Technician
Emergency Medical Technician - Paramedic
Entrepreneurship Certificate
Fabrication Technologies
Gas Metal Arc Welding Certificate
Gas Tungsten Arc Welding Certificate
Gas Utility Construction and Service
Graphic Communications
Health and Wellness
Health and Wellness Technician
Health Care Leadership Certificate
Health Information Technology
Human Resources
Human Resources Assistant Certificate
HVAC Installation Technician
Individualized Technical Studies
Industrial Mechanical Technician
Infant/Toddler Credential Certificate
Information Technology - Cybersecurity Specialist
Information Technology - Help Desk Support Specialist
Information Technology - Information Security Certificate
Information Technology - Mobile Applications Developer
Information Technology - Network Specialist
Information Technology - Software Developer
Information Technology - Technical Support Specialist
Information Technology - Web Designer/Developer
Information Technology - Web Development and Design Specialist
Interactive Media Specialist
Introduction to CNC Operations Certificate
Leadership and Organizational Development
LPN to ADN Progression Track
Manufacturing Fundamentals Certificate
Marketing and Social Media Management
Mechanical Design Technology
Medical Assistant
Medical Billing Specialist Certificate
Medical Coding Specialist
Medical Laboratory Technician
Medical Office Management
Medical Office Specialist
Metal Fabrication
Mold Design Certificate
Nail Technician Certificate
Nursing - Associate Degree With a Practical Nursing Exit Point
Nursing Assistant
Office Software Suite Certificate
Paralegal
Paramedic Technician
Payroll Assistant Certificate
Phlebotomy Technician Certificate
Principles of Management Certificate
Quality and Advanced Manufacturing Technology
Quality/Supervision Certificate
Radiography
Respiratory Therapy
Shielded Metal Arc Welding Certificate
Small Business Entrepreneurship
Substance Use Disorders Counseling
Substance Use Disorders Counseling Certificate
Surgical Technology
Tax Preparer Assistant Certificate
Technical Studies - Journeyworker
Tool and Die Technologies Apprenticeship
University Transfer Degree
Virtual Assistant
Wastewater Treatment Plant Operator Apprenticeship
Water Quality Technology
Web Site Coordinator Certificate
Welding
Wind Energy Technology
I have earned 12 or more credits toward my associate degree
(Required)
Yes
No
Expected graduation date:
(Required)
MM slash DD slash YYYY
Select which location(s) you attend:
(Required)
Fond du Lac
Beaver Dam
West Bend
Online
Are you interested in serving on the Academic Honor Society Advisory team?
(Required)
Yes
No
Maybe Later
Consent
(Required)
I understand that MPTC Academic Honor Society membership is contingent upon maintaining a minimum GPA of 3.5 or higher.
Signature
(Required)
First
Last
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Email
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