Individual Campus Visit Campus Tour Submission Form "*" indicates required fields Name* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Gender* Male Female Prefer Not To Indicate Student Cell Phone*Parent/Guardian Name (First, Last)* Parent/Guardian Phone NumberNumber of people in your party (Including Yourself)* Campus location you would like to visit:* Beloit campus Hays campus Request Tour Date - Campus Tours are available Monday through Fridays. Request must be received at least one week in advance. (NCK Tech will be closed for tours from March 13-17th for Spring Break.*If you need to change your campus tour date or would prefer a virtual tour, please call 785-738-9075 for Beloit tours or 785-623-6166 for Hays tours. MM slash DD slash YYYY Tour time* Morning - Arrive at 9:30 a.m. Afternoon - Arrive at 1:00 p.m. Would you like a lunch break during your tour?*Lunch is only available on the Beloit Campus. Yes No Current High School Grade* Freshman Sophmore Junior Senior Graduated High School Attended* Which programs are you interested in?Beloit Campus*Check all that interest you. Agricultural Equipment Technology Automotive Collision Technology Automotive Technology Carpentry/Cabinetmaking Diesel Technology Electrical Technology Heavy Equipment Operation Information Technology Plumbing, Heating & Air Conditioning Powersports Technology Practical Nursing Welding Undeclared CMA (Certification Medication Aide) (Short-Term Program) CNA (Certified Nurse Aide) (Short-Term Program) CDL (Commercial Driver License) (Short-Term Program) Hays Campus*Check all that interest you. Automotive Technology Business Technology Business Office Management Carpentry/Cabinetmaking Culinary Arts Electrical Technology Nursing Pharmacy Technician Plumbing, Heating & AirConditioning Telecommunications and Network Technology Welding Undeclared CNA (Certified Nurse Aide) (Short-Term Program) CMA (Certified Medication Aide) (Short-Term Program) CDL (Commercial Driver License) (Short-Term Program) General RequestOn my campus visit, I would like to (check all that apply): Fill out an application for admission Tour on campus housing (Beloit campus) or off-campus housing (Hays campus) Receive information on financial aid and scholarships Learn about off-campus housing options Learn about Veteran's Benefits Find out more information on Learning Services/accommodations How did you hear of us?*Please SelectCareer DayCollege Fair/Trade ShowAdmissions Counselor visited my schoolHigh School CounselorNewspaperMailPhone callRadioTVFamily memberI have friends that attend NCK TechWebsiteOtherDuring your campus visit you will receive a free t-shirt. What size t-shirt would you like?*Please SelectSmallMediumLargeX-LargeXX-LargeXXX-LargeAdditional Comments:For other accommodations, please call 785-738-9075 for Beloit tours or 785-623-6166 for Hays tours.EmailThis field is for validation purposes and should be left unchanged. Δ
