ChoffinCTC Enrollment Form
This application is for CURRENT HIGH SCHOOL SCHOLARS only.  

If you are a graduate or soon to be graduate looking to pursue adult education, please call 330.744.8723.
Sign in to Google to save your progress. Learn more
Scholar First Name *
Scholar Middle Initial/Name *
Scholar Last Name *
Scholar Email Address *
Scholar Phone Number *
Current High School *
Scholar Current Grade Level                                         2026-27 academic year *
Mailing Address (example: 200 E. Wood Street) *
City *
State *
Zip Code (example: 44503) *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of ACCESS.

Does this form look suspicious? Report

Google Forms