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Valley High School - Scioto County CTC High School Student Application
The student should complete all information on the application. Please be as detailed as possible in your responses.
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Student First Name:
*
Your answer
Student Middle Name:
*
Your answer
Student Last Name:
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
Alternate Address (if applicable):
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Student Phone Number (home):
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Student Phone Number (cell):
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Student Email Address:
*
Your answer
Do you plan to enroll at the Scioto County CTC as a VALLEY student?
*
Yes
No
If not, which district will you be enrolled with?
Your answer
T-Shirt Size:
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