Apply Now to Mid-State Technical College

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Welcome to the Mid-State Technical College online application. Please complete the form below to apply.

Submitting an application for admission and fee does not guarantee entry into your program.

You may want to have the following documents/information available before beginning the application process:
  • Social security number
  • Desired program/major title
  • Name and graduation date of high school attended or GED/HSED completion date

PHARMACY SERVICES MANAGEMENT and PHARMACY TECHNICIAN:
If you are applying to one of these shared programs with Lakeshore Technical College, please apply at Lakeshore Technical College's website.
A. Legal Name



If you prefer we use a different first or middle name than your legal name, please enter them below.



B. Contact Information















C. Other Demographics







Presently all of the Mid-State Technical College's student record systems rely on the Social Security number (SSN) to track student records. Providing the College with a valid Social Security number is the best way to ensure that your student records are properly maintained. When you enroll, transfer credits, request transcripts, or have any information sent from other institutions to the College, the primary means for connecting these pieces of information with your records is the Social Security number.

 

 If you apply for federal Financial Aid, you must provide Mid-State your SSN in order to have your grants and loans dispersed to you. If you or your parents plan to take a tax credit for tuition paid you must provide your SSN.

 

Your SSN will be treated as a confidential piece of information, similar to student or employee records. .



The following questions relate to racial and ethnic identity. Please respond to both questions.


Your response to the following questions will help the technical college system evaluate recruitment and retention practices and will not affect admissions to the college.


D. Campus, Semester and Program Choice








E. Education-High School and Post-Secondary

Type the first few letters of your high school's name. If your high school doesn't appear, choose Other High School.








F. Signature
I certify that the information on this application is true and complete to the best of my knowledge. I understand that typing my name in the box provided below is the equivalent of placing my signature on a document.


Mid-State Technical College does not discriminate on the basis of race, color, national origin, sex, disability or age in its program, activity, or employment.


The following person has been designated to handle inquiries regarding the nondiscrimination policies:
Vice President – Human Resources:
500 32nd Street N
Wisconsin Rapids, WI 54494
715.422.5325

G. Constant Values


Contact Information