Thank you for agreeing to help the Central Texas Tech Prep Consortium identify and recruit the best career and technology students in Central Texas from your community!

Please fill in the fields below. Don't worry if you don't know everything about the student, but the more you can tell us, the better we can recruit the student. Some fields are required (as noted with an *).

Central Texas Tech Prep Consortium is committed to our prospective students' privacy and will not use the information you provide in ways other than recruiting for Tech Prep.

TELL US ABOUT THE PROSPECTIVE STUDENT
	First Name *
	Last Name *
	Address *
	City *
	State*
	Zip *
	Phone *
	Email
Select Male Female	Gender *
	Career Interest
Yes No	Is this a Tech Prep student?
	Has this student articulated any courses with a college? Concurrent? Dual Credit? Tech Prep?
AS A TECH PREP AMBASSADOR AND FOR CREDIT, PLEASE REPORT YOUR:
	First Name
	Last Name
	Address
	City
	State
	Zip
	Phone
	Email *
	Name of your High School
	Name of your Peer Manager
Yes No	Have you made any presentations on behalf of career and technology and tech prep to your campus activity clubs, associations? To your community associations (chamber of commerce, church, lions club or rotary)? If yes, please list under comments.
comments: