Pharmacy Tech
Equal educational opportunities shall be available for all students, without regard to sex, race, color, national origin, gender, ethnicity, religion, disability, ancestry, or marital or parental status. Educational programs shall be designed to meet the varying needs of all students. No student, on the basis of sex or gender, shall be denied equal access to programs, activities, services, or benefits or be limited in the exercise of any right, privilege or advantage or be denied equal access to educational and extracurricular programs and activities. To view a current list of compliance officers and how they can be reached, visit the Bedford County Public Schools website at http://www.bedford.k12.va.us.
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First Name *
Last Name *
Parent/Guardian Name *
Parent/Guardian Email *
Base School *
Grade *
Address (Street, City, State, Zip Code) *
Phone Number *
Email Address *
GPA *
How many days of school did you miss last year? *
Explain in 2-3 sentences why you want to take this course. *
Student ID Number (If homeschooled, enter N/A) *
Provide the name of a teacher from your base school that can provide a character reference. (If homeschooled, enter N/A) *
Provide the teacher’s email address. (If homeschooled, enter N/A) *
Is this SGSTC course your 1st, 2nd, or 3rd choice? *
How did you hear about this course? *
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