COT Program Completers Information Sheet
Please fill out this form if you will be receiving a "Certificate of Completion" for one of the COT programs this year.
(If in more than one program, please complete a separate form for each program.)
Type your name here...EXACTLY as it will appear on your Diploma. This is your legal name, not your nickname. *
**NOTE: Use CAPITAL LETTERS appropriately, please. (Example: John Smith, NOT: john smith....This is the way your certificate will print--double check spelling.
Your answer
Which PROGRAM are you completing? *
Choose the program that you are completing this year.
STUDENT INFORMATION
Please supply the following information.
Which which school do you attend?
Your Street Mailing Address: *
**NOTE: Use CAPITAL LETTERS appropriately, please. (Example: 10 Maplewood Ave., NOT: 10 maplewood ave)
Your answer
Apartment #:
Your answer
City: *
State: *
Zip Code: *
Your answer
Your Personal E-mail: *
In the future, we are required to contact you for updates on your post-high school experience. Please provide a permanent email address (that you check) where we could reach you in the future. Do not use your high school email.
Your answer
Your Personal Phone Number: *
In the future, we are required to contact you for updates on your post-high school experience. Please provide a permanent phone number (that you answer) where we could reach you in the future. We will only use this if you do not respond to emails.
Your answer
We will send INVITATIONS to your parents to attend our Annual Ceremony
Please enter the following information for the first invitation we should send on your behalf:
Parent(s) Names, (if living at same address. Example: Mr. and Mrs. John Smith ---or--- Mr. John Smith and Ms. Sally Fields). There is a section below to invite a parent at a SECOND/DIFFERENT address.
**NOTE: Use CAPITAL LETTERS appropriately, please. (Example: Mr. & Mrs. John Smith, NOT: mr/mrs john smith)
Your answer
Parent Street Mailing Address:
**NOTE: Use CAPITAL LETTERS appropriately, please. (Example: 10 Maplewood Ave., NOT: 10 maplewood ave)
Your answer
Parent Apartment #:
Your answer
Parent City:
Parent State:
Parent Zip:
Your answer
Parent Home and/or Cell Phones:
Your answer
Parent Email:
Your answer
Will we need to send an invitation to another PARENT at a DIFFERENT ADDRESS? *
Next
Never submit passwords through Google Forms.
This form was created inside of Biddeford School Department. Report Abuse