Tegeler Career Center Application
Please complete this form for enrollment consideration.
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Student ID#
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Student First Name
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Student Last Name
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Student Middle Initial
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Current Grade Level
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7th
8th
9th
10th
11th
12th
Home Address
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City
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State
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Zipcode
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Home Phone with Area Code
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Work Phone with Area Code
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Cell Phone with Area Code
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Home Campus
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Reason for Requesting Transfer
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Name of Person Completing Form
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Relationship to Student
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