Career and Technical Program Application
Use this form to apply to the Career and Technical Program at Westerly High School
First Name *
Middle Initial
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade entering September 2019 *
Program Choice *
Present School *
City / Town *
Guidance Counselor's Name *
Counselor's Phone Number *
Please include area code
If not currently attending school, last school attended
Exit date
Parent / Guardian Name *
Mailing Address *
Parent / Guardian Phone Number *
Please include area code
Alternate Phone Number to Reach You
Parent / Guardian Email Address
Submit
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