Adult Application for Full-Time Day and Evening Programs
Thank you for your interest in a Career and Technical Education program at Charlotte Technical College. Please complete this application. Fall classes begin August 2018.

The School Board shall comply with all federal laws and regulations prohibiting discrimination and with all requirements and regulations of the U.S. Department of Education. It is the policy of the Board that no person in this District shall, on the basis of race, color, religion, national origin, sex (including sexual orientation, transgender status, or gender identity), age, gender, pregnancy, marital status, disability, or legally-protected characteristic, be discriminated against, excluded from participation in, denied the benefits of, or otherwise be subjected to, discrimination in any program or activity for which the Board is responsible or for which it receives financial assistance from the U.S. Department of Education. Policy 1122

Payment Information
Your non-refundable Application Fee must be paid PRIOR to completing this application for a CTC Adult Career and Technical program. For Career Prep courses, the fee is $25.00. If you have not done so, please visit the homepage on our website at http://www.charlottetechcollege.net and submit your application fee via PayPal.
Please enter your PayPal Transaction ID *
Type carefully and verify the accuracy of this PayPal Transaction ID. It will be verified by our staff and is necessary to process your application.
Your answer
Last Name *
Please indicate your legal last name
Your answer
First Name *
Please indicate your legal first name
Your answer
Middle Name
Please type your legal middle name
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
How did you hear about Charlotte Technical College
Mark all that apply.
Full-time *
Level of Education *
Please select the highest level of education you have obtained. Not all programs require a diploma or GED prior to enrollment. If applicable to your program, please submit a certified copy of high school/GED transcript that shows diploma earned within 10 business days of applying. If you are applying for Financial Aid, you will need an additional certified copy of your high school/GED transcript.
Program Choice *
Please select the career and technical program you are applying for.
Level of Education/Testing History
Students who are enrolled in a post-secondary program offered for career education credit of 450 hours or more shall complete an entry-level basic skills examination within the first six (6) weeks after admission into the program. The following are exempt: 1. A student who possess a college degree at the associate level or higher. 2. A student who entered 9th grade in a Florida public school in the 2003-2004 school year, or after, and earned a Fl. Standard HS diploma. 3. Active Military 4. 2014 GED (within 2 years) 5. ACT, SAT, PERT cut scores (within 2 years).
Students who meet one of the exemptions listed above, please indicate the exemptions below. Please check all that apply. You MUST provide proof so please bring official transcripts or official test scores with you when you schedule to the Career Counselor when you meet for Registration into your program of choice. If you need to schedule the TABE test, please call 255-7500 to arrange an appointment in the CTC Testing Center.
If you checked TABE above, what was your overall Reading score?
Grade level scores range from 1 to 12.9+
Your answer
If you checked TABE above, what was your overall Language score?
Grade level scores range from 1 to 12.9+
Your answer
If you checked TABE above, what was your overall Math score?
Total math score is a combination of Math computation and Applied Math and ranges from 1 to 12.9+
Your answer
Background History
Your background history may or may not be used to determine your admissions status. Decisions are made based on the program requirements. Air-Conditioning, Early Childhood Education, Dental Assisting, Emergency Medical Technician, Fire Fighter and Practical Nursing all require a Level 2 Background Check and a urine drug screen is required for Dental Assisting, Emergency Medical Technician, Fire Fighter and Practical Nursing.
Have you ever been convicted of or entered a plea of no contest to a felony? *
Please provide a brief summary of each felony conviction if you answered "Yes" to the question above. *
If not applicable, please type NA in the space provided.
Your answer
Residency
Proof of Residency is used to determine your tuition rate.
Are you declaring Florida Residency for the past 12 consecutive months? *
Proof of Residency is required for in-state tuition purposes. Specific information on acceptable forms of proof can be found on our website at http://www.charlottetechcollege.net. You MUST provide two forms of proof of Florida residency when you turn in your Registration packet. Failure to provide proof will result in out of state tuition fees being required at the time of enrollment.
Electronic Signature
Electronic Signature *
Please type your full legal name as an electronic signature declaring the above information to be accurate and true to the best of your knowledge. Failure to provide accurate information could cause a denial of admissions for applicants or cause disciplinary consequences and/or withdrawal for active students.
Your answer
If you had any problems with this application, please contact 941-255-7500 x106.
AFTER APPLICATION SUBMISSION
If your application does not process when you hit the "SUBMIT" button, please review your application and complete any fields highlighted in red. After you complete and submit your application, you will receive an automatic response with instructions on how to complete the Registration Process.

If you are applying for Fire Fighter or Fire Fighter/EMT Combined you will need to go to http://charlottetechcollege.net/wp-content/uploads/Fire-Fighter-Registration-Packet1.pdf **IF you are applying for any other Career Program go to http://charlottetechcollege.net/wp-content/uploads/new-packet.pdf

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