Early Start Certificate/6-week course application 2026-2027

Student Information

First Name*

Preferred Name

Middle Name*

Last Name/Surname*

Student Personal Email*
(please do not use your high school email address)

Social Security Number (please omit dashes)*

Date of Birth*

Gender*

Female

Male

Undeclared

High School

High School CEEB (Hidden)

High School Level of Study (Hidden)

What year do you graduate high school?

If going to college, what academic year do you plan to start?

If going to college, what semester do you plan to start?

Enrollment Classification*

If going to college, what academic program would you pursue:*

Department (hidden)

Contact Information

Permanent Address*

Country

Street

City

Region

Postal Code

Student Cell Phone*

Would you like to receive text messages, at this number, from Indiana Tech?

Yes

No

Early Start Information

Have you been enrolled in Early Start classes in the past?

Year

Term

Are you participating in any of the following programs?

Leading Connections Agency hardcode for international (hidden)

Are you interested in pursuing a certificate while enrolled in Indiana Tech's Early Start Program?

Please note that some certificate programs are only offered in the 6 week online format. In addition, a student must graduate high school and submit their final official high school transcripts to Indiana Tech prior to receiving their certificate.

Certificate programs range in total credits required between 16-18 credit hours. In addition, some certificate programs have classes outside of the required classes that you will need to take due to pre-requisite requirements.

Some classes are only offered during specific times of year, so it may not always be possible to complete the certificate program depending on when you start.

Parent Information

Including parent information is REQUIRED for all Early Start Students.

Parent Type

Parent First Name

Parent Last Name

Parent Mobile Number

Parent Email Address

Entrance Code

Early Start

Early Start Stage - Leading Connections

Deposited - Early Start

Agency

Leading Connections

Early Start Stage

Applied - Early Start