Contact Information
The purpose of this form is to capture pertinent information on potential students.
First Name
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Last Name
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Mailing Address
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Zip Code
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Phone Number (Preferred)
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Email Address (Preferred)
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When Should We Contact You
How Do You Prefer To Be Contacted
What Course(s) Are You Interested In
Click the box if you are interested in these upcoming courses. You may select more than one course
Would you like to receive notifications from SCLTC?
I was referred by Louisiana Workforce Commission (LWC)/Unemployment Insurance
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