Tegeler Career Center Application
Please complete this form for enrollment consideration.
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Student ID# *
Student First Name *
Student Last Name *
Student Middle Initial
Current Grade Level *
Home Address *
City *
State *
Zipcode *
Home Phone with Area Code *
Work Phone with Area Code *
Cell Phone with Area Code *
Home Campus *
Reason for Requesting Transfer *
Name of Person Completing Form *
Relationship to Student *
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