2019 PCEC Admission Application
Application and any supplemental documentation must be completed and returned to PCEC by April 15, 2019.
Student Name
Your answer
NCWISE#
Your answer
Date of Birth
MM
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DD
/
YYYY
Social Security #(Required by College)
Your answer
Street Address
Your answer
City, State and Zip Code
Your answer
Mailing Address(If different from Physical Address)
Your answer
Home or Cell Phone Number
Your answer
Student Resides with:
Names of the Adults Listed Above
Your answer
How did you hear about Polk County Early College?
Your answer
Current School
Your answer
What career do you plan to pursue?
Your answer
What problems (personal, social, academic, or disciplinary) have you had in your school experiences? Please be specific.
Your answer
Do you consider yourself a mature candidate for the PCEC High School Program? Why or why not? Defend you answer.
Your answer
In your own words, please answer the question, "Why is PCEC High School the right place for you?" 150 Word minimum.
Your answer
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.
Your answer
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