PHS-Career Tech Student Application Form
Student's First Name *
Your answer
Student's Middle Initial *
Your answer
Student's Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Best Phone Number to Reach You *
Your answer
Current Grade Level (2018-2019) *
Student's Base School *
Program Choices
Only choose programs that you are interested in.
Your 1st Choice for CTE Program Next Year *
Your 2nd Choice for CTE Program Next Year *
Your 3rd Choice for CTE Program Next Year *
Your 4th Choice for CTE Program Next Year *
Your 5th Choice for CTE Program Next Year *
References
Please list someone to use as a reference who is NOT RELATED to you. *
Your answer
Reference 1 E-mail Address *
Your answer
Please list someone to use as a reference who is NOT RELATED to you. *
Your answer
Reference 2 E-mail Address *
Your answer
Student's Electronic Signature (Please enter your S number) *
Your answer
IMPORTANT
Tech Park staff will look up each student's academic, attendance, and discipline information.
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