2019-2020 C9 Career Center On-line Application - SHS
Email address *
School you are currently attending? *
Student First Name *
Your answer
Student Middle Initial *
Your answer
Student Last Name *
Your answer
Student Phone Number
List cell phone if available
Your answer
Current Grade Level *
Date of Birth *
Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Student Email Address
Your answer
Parent/Guardian Email Address
Your answer
Are you a current C9 student? *
School Year 2018-2019
Current Program
(if applicable)
First Program Choice *
(Please note many programs are only for 11th and 12th grade students. Please reference the website or your circle sheet for more details.)
Second Program Choice *
(If you only want one program, choose the same program.)
I have my parent/gaurdian permission to participate at Central Nine Career Center. *
Transportation (choose all that apply) *
I understand that Central Nine Career Center is a year long program. *
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