PIM Interest & Qualification Form -- Part 1 2025

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Use this multi-page Interest and Qualification Form to express your interest in the Practicum in Marketing (PIM–Co-Op) course at FMHS. Your responses will be reviewed by the teacher to confirm that you meet the course expectations and to follow up with you about the details and responsibilities of the course. This form is not required to request the course during enrollment, but it must be completed before the final course roster is confirmed.

Email *

Record my email address with my response

Student ID # *

First Name *

Last Name *

Street Address *

City *

Zip *

E-mail Adress *

Grade Level *

next school year

Age *

Gender

Clear selection

Student Cell Phone Number *

Cell Phone Provider *

Do you have a driver's license?

Yes

What semesters are you enrolling for? *

Full year is recommended for the course but single semester enrollment will be granted upon availability.

Fall

Spring

Full year

If you are a senior, are you graduating early?

Yes

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