Apollo Career Center Application

Completing this online application is the first step in your application process for the 2019-2020 school year. Please complete all fields. 8 credits are required for admissions to Apollo (2 English, 2 Math, 1 Social Studies, 1 Science, and 2 additional credits). The 8 credits MUST be verified by transcript before the 2019-2020 school year in order for the admissions process to be complete. If you have questions or need to change something on your online application, please contact Jamie Buell, Supervisor of Student Services, at jamie.buell@apollocc.org or by calling 419-998-2920.
Email address *
Last Name: *
Your answer
First Name: *
Your answer
Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
Home School: *
Other Schools:
If you do not attend one of Apollo's 11 member school districts above, please enter the school district name that you attend below.
Your answer
Date of Birth: *
MM
/
DD
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YYYY
Gender: *
Current Grade Level: *
Parent/Guardian Phone Number: *
Your answer
Student Phone Number:
Your answer
Student Email Address:
Your answer
T-Shirt Size: *
CAREER PROGRAMS
Note: There is a limited number of positions for each program. If a program is full, a second choice program will be considered and the student applicant is placed on a waiting list for their first choice.
Please select your 1st choice program: *
Please select your 2nd choice program: *
PARENT/GUARDIAN INFORMATION
Please provide contact information for one Parent or Guardian who resides with the student and consents to the processing of this application. (If information for two are not available, please leave the 2nd contact blank.)
1st Parent/Guardian Name: *
Your answer
Relationship to Student: *
Your answer
Primary Phone Number: *
Your answer
Secondary Phone Number:
Your answer
Email Address:
Your answer
Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
2nd Parent/Guardian Name:
Your answer
Relationship to Student:
Your answer
Primary Phone Number:
Your answer
Secondary Phone Number:
Your answer
Email Address:
Your answer
Address:
Your answer
City:
Your answer
Zip Code:
Your answer
IMPORTANT INFORMATION
PARENT/GUARDIAN & STUDENT: Read carefully and initial #'s 1, 2, & 3 below. Type the Initials of both the Parent/Guardian & the Student in the box.
1. Two-Week Stay Policy: *
1. Apollo Career Center offers educational activities, employment practices, programs and services without regard to race, color, national origin, sex, religion, disability, or age. Students will be allowed to change programs during the first nine days of the school year. Students may only transfer back to their home school within the first two weeks of the school year.
Your answer
2. Release/Consent: *
2. Permission is granted to release and use without compensation, photos and information of this student for newspaper releases, brochures, videos, websites, social media, employers, the military, and post-secondary institutions unless a parent, guardian, or adult student notifies the Student Services Office in writing that he/she will not permit distribution of any or all such information.
Your answer
3. Program Consent: *
3. The chosen program has been discussed and agreed upon by both parent & student. If accepted to Apollo Career Center, the parent/guardian and student agree that they will fulfill their obligations in the best way possible. This means good attendance, proper conduct, and satisfactory completion of the program in which I have been enrolled.
Your answer
ADMISSIONS/RECORDS RELEASE CONSENT
Type the name of the appropriate person in the box as an electronic signature.
Parent/Guardian *
I give permission for my son or daughter to enroll at Apollo Career Center and for the release of all school records, including testing results, to Apollo Career Center.
Your answer
Student *
I have carefully considered my program choice and wish to be considered for admission to Apollo Career Center. I give permission for the release of all school records, including testing results, to Apollo Career Center.
Your answer
A copy of your responses will be emailed to the address you provided.
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