Skip survey header

CGTC Academy Dual Achievement Program (DAP) Information Request Form

Student Information

What is your name? *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
Can we text you? *This question is required.
This question requires a valid email address.
Are you currently attending High School? *This question is required.
Have you earned 6 or more high school credits? *This question is required.
Which campus are you closest to?
(Our Program of Study list can be found on our website here: https://www.centralgatech.edu/programs-of-study)
Do you have a smart phone? *This question is required.