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Registration Application

  APPLICATION FOR ADMISSION    
To register for any of the course or diploma programs, you must fill out an information sheet on your educational background. Please fill out the form, Application for Admission below and submit to us. We will evaluate your background and suggest the relevant programs of study to you. Please enter your e-mail address or telephone number so that we may be able to contact you.
Date(mm/dd/yyyy)
Last Name   First Name
Address
City State ZipCode
Telephone(Home)    Telephone(Work)
Cell Phone  E-Mail
Place of Employment
Choose your highest level of Education






Computer Science Background
Operating System Used
Programming Experience
Database Experience/Networking

Other Courses Taken

 
Please indicate your choice of courses and career goals.
Remember to give contact information before submitting!

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  Princeton Information Technology Center
140 South Easton Rd., Glenside, PA 19038
Phone: 215-576-5650; Fax: 215-576-5652
information@pitc.edu 		 email