2020-2021 Chesterfield Career and Technical Center Application for Admission
Please complete the following form to apply for the 2020 - 2021 School Year.
After completing this form, you and your parent/guardian will receive an email with a SIGNATURE FORM.
Please print, sign, and give to your School Counselor.
YOUR APPLICATION WILL NOT BE REVIEWED IF YOU DO NOT SUBMIT THE SIGNATURE FORM.

Applications and signature forms are due by February 28, 2020. Applications and signature forms turned in by that time will be the first considered for each course. Applications submitted after February 28th will be considered as seats become available in a course.
High School *
Student Number *
Your answer
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Initial
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Current Grade Level *
Gender (for data collection purposes only) *
Parent Phone Number (no spaces or dashes) *
Your answer
Student Phone Number (no spaces or dashes)
Your answer
Parent Email *
Your answer
Student Email
Your answer
Counselor Name *
Your answer
Regular attendance is crucial to your success while at the tech center. Some courses have mandatory hour requirements to obtain the certification or license for that course. Are you willing to make the commitment to attend regularly? *
Are you currently a student at the tech center? *
Please pick your first choice course for which you would like to apply. For more information about each course, go to TheTechCenter.info *
Explain why you would like to enroll in this course. *
Your answer
What is something you hope to learn by taking this course? *
Your answer
What are your educational and/or career plans after high school? *
Your answer
Is there anything else you would like to tell us about yourself?
Your answer
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