2019 PCEC Admission Application
Application and any supplemental documentation must be completed and returned to PCEC by April 15, 2019.
Date of Birth
Social Security #(Required by College)
City, State and Zip Code
Mailing Address(If different from Physical Address)
Home or Cell Phone Number
Student Resides with:
Mother & Father
Other (Please Specify)
Names of the Adults Listed Above
How did you hear about Polk County Early College?
What career do you plan to pursue?
What problems (personal, social, academic, or disciplinary) have you had in your school experiences? Please be specific.
Do you consider yourself a mature candidate for the PCEC High School Program? Why or why not? Defend you answer.
In your own words, please answer the question, "Why is PCEC High School the right place for you?" 150 Word minimum.
Please provide three references. One should be from your school counselor, one from a teacher at your current school, and one from someone who can speak to your character traits within the community and not a relative. Please list contact information for each.
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