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CTE Pathway Application Form for 2021-22 School Year
Directions:

1. Complete all fields within this form.

2. For students who do NOT CURRENTLY ATTEND a public school in the Cumberland School Department:
Send the most recent copy of your transcript/report card to:
Cumberland High School
Attn: Heather Delfino, Assistant Principal & Director of Pathways
2600 Mendon rd
Cumberland, RI 02864

or email them to: cte.cumberlandschools.org

Early Decision Deadline: 12/31
Lottery Deadline (if space is limited): 3/30

Application Info: https://goo.gl/YF4WBv

It is the policy of the Cumberland High School not to discriminate on the basis of age, sex, gender expression or identity, race, religion, national origin, sexual orientation, color, or handicap in its educational programs, activities, and employment practices in accordance with applicable laws and regulations. Additionally, the lack of English language skills of national origin minority persons will not be a barrier to admission and participation in vocational education programs.
Email address *
Student is a Cumberland Resident *
Student First Name *
Student Last Name *
Student email address (if different from the one listed above)
Date of Birth *
MM
/
DD
/
YYYY
Student Address (INCLUDE: House #, Street Name, City, State, Zip Code) *
Town/City of residence
Primary Home Phone *
Student Current School *
Student's Year of Graduation *
Parent/Guardian #1 First Name *
Parent/Guardian #1 Last Name *
Parent/Guardian #1 Email *
Parent/Guardian #1 Cell Phone *
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Parent/Guardian #2 Cell Phone
Parent/Guardian #2 Email
Please select the pathway you want to apply to as your 1st choice (Out of district students are only eligible to apply for CTE programs): *
Please select the CTE pathway you want to apply to as your 2nd choice (Optional):
How did you hear about Cumberland's Pathways? Select One: *
Why do you want to enroll in a CTE program at Cumberland High School? *
School records may include, but are not limited to, course grades, standardized tests, Individualized Education Plans (IEPs), attendance and health records, extracurricular activities, conduct reports, and psychological/educational evaluation reports. I hearby give permission to my child's current school/district to utilize the school records of my child (named in the above form) for the purpose of application/admission/placement into a Cumberland High School Pathway. *
School record permission PARENT'S SIGNATURE & DATE: My signature below signifies my approval of this application and agreement to encourage punctual and regular attendance.
Parent Approval of Application *
Photo Permission: I grant permission for Cumberland High School to include images of my child in promotional materials
Clear selection
Signature of student: By signing, I acknowledge that all information in this application is accurate, and I agree to all terms specified by the Cumberland High School for Pathway Enrollment.
Date of signature
Resident District Signatures (for NON-Cumberland Residents only):
If you are accepted and plan to enroll at Cumberland High School, submit a copy of this application to the superintendent of schools in the district where you live, obtain their signature below and return the completed, signed application to our School Counseling Department. This is to ensure the district in the town where you live is aware of the potential out-of-district enrollment for budgetary purposes. It is suggested to print this application now, so you do not need to look back and find it upon acceptance.


Superintendent Signature: _____________________________________________

Date of Signature: ____________________________________________________

Home District Guidance Dept. Signature (Optional):_________________________________________
It is the policy of the Cumberland High School not to discriminate on the basis of age, sex, gender expression or identity, race, religion, national origin, sexual orientation, color, or handicap in its educational programs, activities, and employment practices in accordance with applicable laws and regulations. Additionally, the lack of English language skills of national origin minority persons will not be a barrier to admission and participation in vocational education programs.
A copy of your responses will be emailed to the address you provided.
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