"*" indicates required fields Step 1 of 8 0% Student InfoStudent Name First Middle Last Date of Birth Month Day Year Current Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Social Security Number Drivers License Number# Home PhoneWork PhoneCell PhoneEmail Enter Email Confirm Email Place of Birth State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Check One: U.S.Citizen Permanent Resident Alien Other, please explain Permanent Resident Alien#:* Other, please explain* Program InfoHave you reviewed a copy of the the school catalog? Yes No Which Program are you interested in?* Criminal Justice – 60 Credit Hours Sport Management – 60 Credit Hours Entrepreneurship and Small Business Management – 60 Credit Hours *The Medical Assistant and Physical Therapy Assistant program is not available for the Fall 2023 semester. Please explore alternative program options within our institution.Semester StartSpring 2024Summer 2024Fall 2024Start Date :::: MM slash DD slash YYYY END DateYou must review the catalog prior to enrollment. https://support.mti.edu/wp-content/uploads/2023/06/Catalog-MTI-6403-08.22.22.docx.pdf Scholarship InfoDid you receive a Scholarship Offer? No Yes What offer did you receive? Athletic Grant in Aid Grant in Aid Who was your recruiter? Athletic Grant in Aid Award LetterPlease review your Athletic Grant in Aid Award Letter Athletic Grant in Aid Award* I have reviewed and accept the terms of my have reviewed my Athletic Grant in Aid award. Grant in Aid Award LetterPlease review your Grant in Aid Award Letter Grant in Aid Award* I have reviewed and accept the terms of my have reviewed my Grant in Aid award.HiddenClass Schedule Degree SeekingHiddenStudent is scheduled to attend Monday Tuesday Wednesday Thursday Friday Saturday Sunday Credit Hour Schedule HiddenStart and End DateHiddenStart Date* MM slash DD slash YYYY HiddenAnticipated End Date MM slash DD slash YYYY HiddenTotal contracted hours:no transfer hoursHiddenAnticipated number of months to complete contracted hoursHiddenTransfer/Re-entry Student–HoursNeeded: Estimate of CostEstimate of Cost TUITION AND FEE SCHEDULEWonderlic Entrance Exam Price: Registration Fee Price: 1st Semester Tuition – 15 Credits Price: 2nd Semester Tuition- 15 Credits Price: 15 Credits 3rd Semester Tuition- 15 Credits Price: 15 Credits 4th Semester Tuition- 15 Credits Price: 15 Credits 1st Year Student Activity Fee Price: 2nd Year Student Activity Fee Price: 2nd Year Athletic Grant In Aid- (Pending) Price: Athletic Grant In Aid- (Pending) Price: Payment Plan Fee Price: Estimated Cost of Attendance Estimate Review* I have reviewed and I accept the above estimate and tuition and fees. Payment Plan OptionStudents who are unable to pay the tuition and fees in full, may arrange a payment plan to be paid monthly to the School. Do you need a tuition payment plan? Yes No *To set up a payment plan the School will charge a non refundable $50 payment plan fee. Your Payment Schedule Will Be: Option 11st Payment: $5,435.00 (Due upon enrollment)1st Payment: $9,185.00 (Due upon enrollment)2nd Payment: $2,800.00 (Due 1st day of the 3rd semester) 2nd Payment: $9,000.00 (Due 1st day of the 3rd semester) 1st Payment: $9,235.00 (Due upon enrollment) (18) Monthly Payments: $500.00 (Due on the 1st every month) Payment Plan Letter Payment Plan Letter Your Payment Schedule Will Be: Option 2HiddenMethod of Payment* Full payment at time of signing the Enrollment Agreement. Registration fee paid at time of signing agreement with balance paid prior to start date. Registration fee paid at time of signing agreement with balance paid prior to graduation. Registration fee paid at time of signing agreement with balance paid through an approved payment plan. 1st Payment: $5,435.00 (Due upon enrollment) (17) Monthly Payments: $250.00 (Due on the 1st every month) When Payments Are Due: Beginning on the start date and on the 1st day of month thereafter. Amount of Each Payment: $250.00 Number of Payments – 21 Payment Plan Letter I have reviewed and I accept my payment plan. I understand that failure to make a payment within 5 days of when due will result in a lock on my account and I will not being allowed to attend classss.Octavia McDougleNameThis field is for validation purposes and should be left unchanged.
