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Thank you for your interest in Lewiston Regional Technical Center. We appreciate you taking the time to contact us.

By submitting this form, you are expressing your interest in attending Lewiston Regional Technical Center as a student.

Next steps:

After we receive this form, we will contact you in 2-4 weeks with more information.
Please read our admissions information before you consider applying.

About You
Required fields *
Name*
First Middle Initial Last
Gender*
- Male
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Date of Birth*
Email*
Parents Email*
Phone*
Mobile Phone
Parents Mobile Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Current School
- I am homeschooled or not currently in school.
Year of Graduation*
Guidance Counselor Email*
Parent Contact Info
Mother's name*
Mother's Phone Number*
Father's Name*
Father's Phone Number
Guardian's name
Guardian's Phone Number
Academics
Please select the programs you are interested in*
First Choice
Second Choice*
Second Choice
Tell us why you are interested in Lewiston Regional Technical Center*
How did you hear about Lewiston Regional Technical Center*
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- From a teacher
- From a school staff memeber
- From a friend
- From a parent
What are your plans after graduation?*
Do you have any other comments or feedback? (Optional)
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Guidance Counselor