prospective students | apply free



Thank you for your interest in Lawrence Tech! To have your application fee waived, please take a moment to fill out this brief survey.

Email Address *
First Name *
Last Name *
Street Address *
City *
State/Province *
Country *
Zip/Postal Code *
Phone Number *
(e.g. 123-345-6789)

1.

Birthdate
(mm/dd/yyyy)


2.

Gender
Male
Female

3.

Primary Major Choice

*

4.

Secondary Major Choice


5.

Entry Term

*

6.

High School Graduation Year
*
Please type the 4-digit year of your high school graduation


7.

Where did you see the ad for Lawrence Tech?

*