Career and Technical Education Interest Form
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*
Required
Name
*
required
First Name
Last Name
Parent or Guardian Name
Address (Street/City/Zip Code)
Phone
*
required
Email Address
*
required
Contact Preference
*
required
Phone
Email
Date of Birth
Must contain a date in M/D/YYYY format
Gender
Male
Female
Current Grade
*
required
8th
9th
10th
11th
12th
Current District of Enrollment
Current IEP/504
Yes
No
Program of Interest
*
required
Agriculture - General
Agriculture Mechanization
Agricultural Production
Applied Horticulture
Business & Accounting
Child Care & Support Services Management
Power Motorsports
Sports Medicine & Rehabilitation Therapy
Veterinary Technology
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