Last Name First  Name Mid  Name S S # DOB Address Home Phone Business Phone Other Phone If you under 18 years of age, or if someone else will be responsible for tution, plaese fill in the following space: Last Name First  Name Mid  Name Address Home Phone Business Phone Other Phone Relation to applicant: Educational background: According to MIMT Admission Requirements, students must have a High School Diploma or Equivalent (GED) to be fully admintted to the school. The school will also accept students under the ability to Benefit (ATB) policy. ATB students ust pass an entrance exam given by the school.   Name of School Address Years Attended Did You Graduate? High School College/University Other post-secondary Edu   Applicant's Name Date       Office Hours: Monday Through Friday 9:00 Am - 10:00 Pm - Saturday 9:00 AM - 6:00 PM