STUDENT APPLICATION 2026-2027
Thank you for your interest in attending the Coshocton County Career Center!

Waiting lists will generate once programs are full.  

If you have questions, please call 740-622-0211



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STUDENT EMAIL
Use your current school email
*
STUDENT FIRST NAME
As it appears on your birth certificate

Use proper capitalization
*
STUDENT MIDDLE NAME
As it appears on your birth certificate

Use proper capitalization
*
STUDENT LAST NAME
As it appears on your birth certificate

Use proper capitalization
*
STUDENT DATE of BIRTH

MM / DD / YYYY
*
MM
/
DD
/
YYYY
STUDENT CITY & STATE OF BIRTH
As it appears on your birth certificate

Use proper capitalization
*
HOME HIGH SCHOOL *
ANTICIPATED GRADUATION YEAR *
PARENT / GUARDIAN FIRST & LAST NAMES

Use proper capitalization
*
ADDRESS 
DO NOT ENTER YOUR CITY / STATE / ZIP HERE

Enter ONLY YOUR HOUSE NUMBER & STREET  
-OR- YOUR PO BOX

Use proper capitalization and abbreviations

Example:   123 Main St.
Example:   PO BOX 123
Example:  12345 TR 678
*
CITY / STATE / ZIP CODE
*
STUDENT CELL NUMBER *
PARENT / GUARDIAN CELL NUMBER *
PARENT / GUARDIAN EMAIL *
PROGRAM CHOICE 1 *
PROGRAM CHOICE 2 *

DO YOU PLAN TO ATTEND THE CAREER CENTER FULL TIME FOR BOTH YOUR LAB AND YOUR ACADEMICS?

*
The Board of Education does not discriminate on the basis of the Protected Classes of race, color, national origin, sex (including sexual orientation and transgender identity), disability, age (except as authorized by law), religion, military status, ancestry, or genetic information (collectively, “Protected Classes") in its educational programs or activities. 

Parent/Guardian: By typing your FULL name below and pressing the submit button, you are confirming you have discussed this education plan with your child and give CCCC permission to process this application.
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