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Early Start Certiciate/6-week Course Application 2025-2026
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Student Information
First Name*
Preferred Name
Middle Name*
Last Name*
Student Personal Email*
(please do not use your high school email address)
Social Security Number (please omit dashes)*
Date of Birth*
Date of Birth*
January
February
March
April
May
June
July
August
September
October
November
December
1
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2025
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1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender*
Gender*
Female
Male
Undeclared
High School
High School CEEB (Hidden)
High School Level of Study (Hidden)
High School
What year do you graduate high school?
2024 - 2025 Academic Year
2025 - 2026 Academic Year
2026 - 2027 Academic Year
2027 - 2028 Academic Year
If going to college, what academic year do you plan to start?
2025 - 2026 Academic Year
2026 - 2027 Academic Year
2027 - 2028 Academic Year
If going to college, what semester do you plan to start?
Fall (August)
Spring (January)
Enrollment Classification*
Early Start
If going to college, what academic program would you pursue:*
Accounting, A.S.
Accounting, B.S.
Addictions Counseling, B.S.*
Biology, B.S.
Biomedical Engineering, B.S.
Business Administration - Business Analytics, B.S.
Business Administration - Entrepreneurial Studies, B.S.
Business Administration - Financial Services, B.S.
Business Administration - Human Resources, B.S.
Business Administration - Management, A.S.
Business Administration - Management, B.S.
Business Administration - Supply Chain Management, B.S.
Child Development, B.S.*
Communication - Graphic Design, B.A.*
Communication - Journalism & Broadcasting, B.A.*
Communication - Sports Media, B.A.*
Computer Engineering, B.S.
Computer Science, B.S.
Criminal Justice - Rehabilitative Services, B.S.*
Criminal Justice, A.S.
Criminal Justice, B.S.
Criminalistics, A.S.*
Cybersecurity, B.S.
Electrical Engineering, B.S.
Emergency Response Management, B.S.*
Engineering - Computer Engineering, B.S.
Engineering - Electrical Engineering, B.S.
Engineering - Industrial Manufacturing Engineering, B.S.
Engineering - Mechanical Engineering, B.S.
Exercise Science - Applied Exercise Physiology, B.S.
Exercise Science - Pre-Professional, B.S.
Exercise Science - Strength & Conditioning, B.S.
Forensic Science, B.S.
General Studies, A.A.
General Studies, B.A.
Health Science - General, B.S.*
Health Science - Pre-Professional, B.S.*
Health Science, A.S.
Human Services, B.S.*
Industrial & Manufacturing Engineering, B.S.
Information Systems, B.S.
Marketing, B.S.
Mechanical Engineering Technology, A.S.
Mechanical Engineering Technology, B.S.
Mechanical Engineering, B.S.
Mechatronics and Robotics Engineering, B.S.
Network Management, A.S.
Psychology, B.S.
Recreation Therapy, B.S.*
Software Engineering, B.S.
Sport Management, B.S.
Supply Chain Management - Data Analytics, B.S.
Supply Chain Management - Quality Management, B.S.
Undecided/Undeclared
Department (hidden)
Traditional
Contact Information
Permanent Address*
Permanent Address*
Country
Street
City
Region
Postal Code
Student Cell Phone*
Would you like to receive text messages, at this number, from Indiana Tech?
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?
Yes
No
Year
2024 - 2025 Academic Year
2025 - 2026 Academic Year
Term
Fall
Spring
Summer
Are you participating in any of the following programs?
Are you participating in any of the following programs?
Cesar Chavez
FWCS Amp Lab
Southern Wells - English Classes
Westview High School - Business Classes
None of the Above
Please select all formats you are interested in taking classes through.
Please select all formats you are interested in taking classes through.
15 week online courses
15 week in-person courses
6 week online courses
Are you interested in pursuing a certificate while enrolled in Indiana Tech's Early Start Program?
Yes
No
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.
Please select the certificate program you wish to apply for. (others may be available as well)
Please select the certificate program you wish to apply for. (others may be available as well)
Case Management, Certificate
Conflict Resolution, Certificate
Entrepreneurial Studies, Certificate
Forensic Science, Certificate
Graphic Design, Certificate
Health Science, Certificate
Marketing, Certificate
Organizational Leadership, Certificate
Policing and Corrections, Certificate
Sports Management, Certificate
Sports Media, Certificate
Parent Information
Including parent information is REQUIRED for all Early Start Students.
Parent Type
Father
Legal Guardian
Mother
Step-Father
Step-Mother
Parent First Name
Parent Last Name
Parent Mobile Number
Parent Email Address
Entrance Code
Entrance Code
Early Start
Early Start Stage
Early Start Stage
Applied - Early Start
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