Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What training program are you interested in? *

Spring 10-Week Operator (Begins 4/22)

Summer 10-Week Operator (Begins 7/8)

Fall 6-Week Operator (Begins 9/23)

STEP - Summer Technician Entrance Program

AIS Heavy Equipment Institute Technician Program

Lansing Community College Technician Program

Oakland Community College Technician Program

High School Program

Other

I Heard about this program from: *

Internet Search (Google, Bing, Etc.,)

Friend or Family

High School Teacher or Counselor

High School Presentation or Career/College Fair

Program Graduate

AIS Employee

Other

I would like to schedule a visit

Yes

No

I wish to be contacted by *

Phone

Email

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