Star Tech Institute >

Corporate Offices
Centennial Center,
Suite 101A
175 Cross Keys Road
Berlin, NJ 08009-9908

Call us:
1-800-659-STAR

Fax us:
1-856-719-8755

E-mail us:
startek@eticomm.net

ONLINE APPLICATION

Congratulations on your decision to make your future a great success. You'll be proud of your accomplishments. It all starts right here with this quick and easy online application. Just type in the information about yourself and one of our career representatives will be in touch to answer all of your questions.

SCHOOL APPLICATION

PERSONAL HISTORY

Note: Star Technical Institute does not discriminate on the basis of gender, handicap, race, color, creed, age, marital status, national or ethnic origin.

Name
Address
City	StateZip
Home Phone#Work Phone#E-Mail
Date of BirthAge# of Dependents including spouse
Social Security#Sex Male Female
Marital StatusSingle Divorced Married Separated Widowed
Maiden Name
Means of Transportation
EDUCATIONAL HISTORY
High School
Location
Yrs AttendedLast Grade CompletedGrad. Date
GEDYear Obtained
Location
Yrs AttendedGrad. Date
COLLEGE
Location
Yrs AttendedGrad. Date
TRADE/BUSINESS SCHOOL
Location
Yrs AttendedGrad. Date
WORK EXPERIENCE (List most recent job first)
CURRENT EMPLOYER
JOB TITLEHOW LONG EMPLOYED?
PREVIOUS EMPLOYER
JOB TITLEHOW LONG EMPLOYED?
PREVIOUS EMPLOYER
JOB TITLEHOW LONG EMPLOYED?
PERSONAL HISTORY CONTINUED
IN CASE OF EMERGENCY, NOTIFY
Address
City	StateZip
Phone #Relationship
List any health problems
Are you currently taking any medication? Yes No
If so, what?
Are there any medical procedures that we should know?
PERSONAL REFERENCE
That we may contact to vouch for your character and ability to finish this program of study.
Name
Address
City	StateZip
Phone #
(for office use only) Verified Yes NoComments

Click on a Program Topic and Learn How You Can Have an Exciting Career

Please note, certain courses are taught at specific locations.