Region 10 Technical High School -                 2023/24 Enrollment Application
NEXT STEPS
Please read our admissions information found on our website www.r10tech.org
Contact your school counselor letting him/her know you have applied to Region 10
Are you currently a Region 10 Student *
Will you be remaining in your current Region 10 program? *
STUDENT DEMOGRAPHIC INFORMATION
Sections I (Sections in this application:  Demographics, Programs of Interest, About You)
First Name *
Last Name *
Preferred Name *
Pronouns
Date of Birth *
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DD
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YYYY
Student School Email Address *
Student Phone Number *
PARENT/GUARDIAN DEMOGRAPHIC INFORMATION
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
MAILING ADDRESS INFORMATION
Street Address or PO Box *
City/Town *
Zip code *
Town of Residence *
CURRENT SCHOOL INFORMATION
Current School *
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