STUDENT APPLICATION
First Name Last Your City Phone Number E-Mail Address Are you interested in: Day Classes from 8:00AM to 4:30PM, Monday - Friday for four Weeks I need to speak to someone regarding an alternative schedule When will you be ready to start classes? Immediately - First available class Within the next three months Within the next three to six months Within the next year Which location would you like to attend? Eagle in Lake in the Hills Eagle in Rockford Our Wisconsin Course at Eagle in Rockford How will you pay for classes? I will be paying cash/check I will be paying with a Credit Card I am working with a loan officer / I have a loan I will need to make payment arrangements I am going to try unemployment services (WIA/TAA) Please let us know how you heard about us... TV Commercial Radio Commercial Newspaper Ad Eagle Trailer on the Road Drove by the School Job Fair Unemployment Office A Parade Search Engine (Google/Yahoo/Bing) Facebook Ad Truck Driving Site Online A Friend / Relative Other: Would you like to be added to our email list? Yes No Comments Completion of this application does not obligate you in anyway.