Please answer the following questions. A representative from MITI will reach out to you upon completion. Personal Information* indicates required field First Name * Last Name * MEID * Street Address * City, State, Zipcode * Preferred Phone Number * Preferred Email Address * Maricopa Email Address * What department are you currently enrolled in? * Computer Information Systems (CIS) Manufacturing Other Are you currently enrolled as a student at Mesa Community College (MCC)? * You must be enrolled as either a Credit or Non-Credit student at MCC to participate in the course. Yes No