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Elizabethtown Community and Technical College
Advanced Manufacturing Program (AMT)
Lincoln Trail Chapter
Kentucky Federation for Advanced Manufacturing Education
FAME Application
Fields marked with an asterisk * are required.

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(Apt, Suite number, etc...)
* *
* - (last 4 digits optional)
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* Date of Birth: (required format: xx/xx/xxxx)
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* (format (xxx) xxx-xxxx )
(format (xxx) xxx-xxxx )

* Yes   No
* Yes   No
* Yes   No

* (no abbreviations please)
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* (required format: mm/yyyy)

ACT Scores:
           

COMPASS Scores:
        

* Yes   No     (participation not required)





* In order to be considered for acceptance into the AMT Program and a company sponsorship, you must check this box to give FAME (Federation for Advanced Manufacturing Education) and Elizabethtown Community and Technical College (ECTC) permission to share the information in your application as well as any other documents or media that you submit with one another, and their collaborating organizations. You understand that by submitting your application and supporting items, you are waiving your rights of nondisclosure of these records under federal law to FAME, ECTC, and collaborating organizations, including company sponsors. This release does not permit the disclosure of these records to any other persons or entities without your written consent.