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RGV TECHNOLOGY INSTITUTE

Application For Admission

  1. Applicant Information (Please Print Clearly)

Date of Birth
Month
Day
Year
Gender
Female
Male
Marital status
Single
Married
Divorced
Separated
Widowed
Ethnicity/Race
  1. How did you hear about us?

Multi choice
  1. Program of Interest

Multi choice
  1. Education

Single choice
Diploma
  1. Work History

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Date
Month
Day
Year

RGV Technology Institute does not discriminate on the basis of race, religion, color, national origin, sex, or disablity in provision of services, programs, or activites

  1. Social Media Photo & Video Release

I hereby grant RGV Tech Institute to use my likeness in photographs and video recordings for use on the school's social media accounts (including Facebook, Instagram, and Linkedin ) and official website.

  1. Commercial Use: I understand these posts are for the purpose of promoting the school's programs and services to the public.

  2. No Compensation: I agree that I will receive no payment or royalty for the use of my image

  3. FERPA Consent: I voluntarily authorize the release of my name and image as part of the school's marketing and directory information.

  4. Right to Revoke: I may request the removal of a specific post at any time contacting school administration in writing.

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Date
Month
Day
Year

IF UNDER 18

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RGV Technology Institute is Approved and Regulated by Texas Workforce Commission Career Schools and Colleges,

Austin, Texas.

RGV Technology Institute is an Equal Opportunity Employer/Program. Auxiliary aide and services are provided upon request to individuals with disabilities.

Relay Texas: 1-800-735-2989 (TDD) or 711 (voice).

©2023 by RGV Tech Institute. 

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