WACTC Regional Career Center Application
Application
First Name *
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Last Name *
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Date of Birth of student
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DD
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YYYY
Street Address
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City/Town
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Zip Code
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Student's email
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PARENT/GUARDIAN NAME:
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Home Phone
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Parent/Guardian Cell
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Parent's email
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Current School *
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Please Select Your 1st Choice *
Please Select Your 2nd Choice *
Please Select Your 3rd Choice *
TO BE COMPLETED BY STUDENT ONLY. Describe why you would like to attend WACTC.
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Would you like to apply for the P-TECH Program at the WACTC (Incoming 9th Graders Only)
Are you currently taking classes on Summit? (Incoming 9th Graders Only)
Are in interested in learning about Computer Science (Incoming 9th Graders Only)
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