Ophthalmic Technician Degree Information Session

UPDATE: All persons on campus must follow the latest protocols regarding COVID-19. Click HERE to view the requirements. You will be asked to show proof of compliance (using the CLEARED4 application) prior to being admitted to the Information Session. Your name and the current date must be visible. Click HERE to scan the QR Code to access the CLEARED4 application.

* = Required Field

Anticipated Enrollment * Fall 2022 Fall 2023

Program * Ophthalmic Technician Degree

Session Date * Tuesday, March 8, 2022 @ 3:30PM in Room H-129 Wednesday, April 13, 2022 @ NOON in Room H-129 Monday, June 6, 2022 @ 3PM in Room H-129 Monday, October 24, 2022 @ NOON in Room H-129 Wednesday, December 7, 2022 @ 3:30PM in Room H-129

NOTE: One-on-one virtual information sessions are available BY APPOINTMENT on Blackboard Collaborate during July and August 2022. Please email Lisa Maas at lisamaas@triton.edu.

First Name *

Middle Name or Initial

Last Name *

Address *

Apartment/Unit

City *

State * Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code *

Phone *

Last 4 digits of Social Security Number *

Student ID Number

Birthdate *

Email *

Enrolled at Triton? * Previously Currently Never Enrolled

Have attended an Information Session before at Triton College? * (NOTE: Session can be in a different program from which you are currently applying) Yes No

If Yes, which Information Session did you attend?

If Yes, What date did you Previously Attend Session (Approximate Date)

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