Student Application
GREATER ALTOONA CAREER & TECHNOLOGY CENTER
Current Year Grade Level
What grade are you currently in?
Student First Name *
Enter all information in proper English format: Capital letter begins your first name, middle name, last name. Your school name begins with a capital letter. Street Address begins with a capital letter.
Your answer
Student Middle Name *
No Initial
Your answer
Student Last Name *
Your answer
Student Home School ID *
Your answer
Home School *
Please select your current home school from this drop-down menu:
Gender *
Student Cell Phone Number in this format: 000-000-0000
For security purposes, please provide.
Your answer
Student Email Address
For security purposes, please provide.
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian First Name *
Enter all information in proper English format: Capital letter begins your first name, middle name, last name. Your school name begins with a capital letter. Street Address begins with a capital letter.
Your answer
Parent/Guardian Last Name *
Your answer
Relationship *
Your answer
Home Street Address *
Enter all information in proper English format: Capital letter begins your first name, middle name, last name. Your school name begins with a capital letter. Street Address begins with a capital letter.
Your answer
City *
Enter all information in proper English format: Your home city begins with a capital letter.
Your answer
State *
Zip Code *
Your answer
Home Phone Number
In this format: 000-000-0000
Your answer
Parent or Guardian Cell Phone Number
In this format: 000-000-0000
Your answer
Parent or Guardian Work Phone Number
In this format: 000-000-0000
Your answer
Parent E-mail
Your answer
Dear Parent or Guardian:
Your child has expressed an interest in pursuing a program of study at the Greater Altoona Career & Technology Center. We are requesting that you and your child discuss their career and technical education program selection. Please note that this is an application and does not guarantee acceptance or admission to GACTC. If you agree that the selection is in the best interest of your child, please sign below.
Choice 1 *
Choice 2 *
Current year guidance counselor and/or school *
A student who does not receive any selection listed here may be offered the opportunity to be considered for an alternate choice chosen from a list of programs still having spaces available. IF ACCEPTED FOR ANY CHOICE, I UNDERSTAND THAT THIS PLACEMENT WILL BE FOR NO LESS THAN ONE SCHOOL YEAR. Therefore, the alternate should be considered carefully.
I further agree to abide by the rules and regulations of the Career & Technology Center which stress safety related to the student, equipment and other persons. Inappropriate behavior or performance may result in removal from the CTC program.
Student Signature *
Your answer
By typing your full name and clicking on the checkbox, you are verifying your signature and your agreement that all of the information you submitted is true. *
FYI: The data that you provide, stays with us. It is not shared with anyone else.
Required
Parent or Guardian Signature Confirmation *
A parent/guardian signature must be provided. If parent/guardian is not available, please provide a signature to the GACTC to finalize this form.
Parent or Guardian Signature
Your answer
PS 7306
7/19/13
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