Student Photo Interest Form

Fill out the form below and tell us more about you! We want to get to know the students of Moraine Park and feature photos of you and your peers, highlighting your success, in various marketing materials.

Full Name (required)

Your Email (required)

Your Phone Number (required)

High School & Hometown (required)

Where do you currently reside? (required)

High School Graduation Year (required)

MPTC Major (required)

Expected MPTC Graduation Year/Semester? (required)

Plan to transfer? (required)

If yes, where do you plan to transfer to?

Goal Career: (required)

MPTC scholarships received?

What made you pick MPTC?

Favorite sport, hobby, hero, book, TV show, movie, etc:

Greatest life achievement thus far?

Student Organization Involvement:

MPTC honors earned (i.e. Dean's List):

What surprised you about MPTC?

What will you remember most about MPTC after you graduate?

Favorite class/instructor/or activity?

Volunteer/service learning activities:

Interested in participating in a photo shoot?

If you are interested in participating in a photo shoot, what is the best availability for you on May 18th?

By submitting, you are agreeing to the following: All students and alumni (“Students”) are advised that Moraine Park Technical College (“Moraine Park”) Marketing and Communications staff take photographs and videos of Students throughout the year. These photographs and videos often include Students in classrooms, study areas, and at Moraine Park-related events and activities. Moraine Park reserves the right to use these photographs and videos as a part of its publicity and marketing efforts. Students who enroll at Moraine Park do so with the understanding that these photographs and videos might include their names, pictures, images, voices, and likenesses, and such photographs or videos might be included, published, or used in Moraine Park’s publications including print, broadcast, or electronic media, for publicity, commercial, or marketing purposes, and enrollment at Moraine Park constitutes Students’ consent to the inclusion, publication, or use of their names, pictures, images, voices, and likenesses in Moraine Park publications, both printed and electronic, for publicity, commercial, promotional, or marketing purposes.