Windham Regional Career Center Application
Windham Regional Career Center does not discriminate on the basis of race, color, national origin, creed, sex, disability, sexual orientation, gender identity, marital status, or age in its programs or activities. The following person has been designated to handle inquiries regarding the nondiscrimination policies: Kate Margaitis, Nondiscrimination Coordinator, Brattleboro Union High School Campus, 131 Fairground Road, Brattleboro, VT 05301 802.451.3412 kmargaitis@wsesdvt.org
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Last name *
First name *
Physical Address *
Mailing Address *
Your email address *
Your cellphone number
Date of birth *
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Gender Identity
School you currently attend *
Guidance Counselor
Grade Next school year *
Select Program *
Second choice program
Name of parent/guardian *
Address *
Parent prefered phone number *
Email address *
Name of parent/guardian #2
Address
Parent perfered phonenumber
Email address
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