CEC Enrollment Application
This enrollment application for Bangor Career Academy will take approximately 10-15 minutes to complete. Once submitted, you will be contacted within 2 business days to schedule an enrollment interview.
Student Full Name *
Student Preferred Name (if different from first name above)
Student Grade (for 2019-2020 school year) *
Student Mailing Address *
Student Email Address
Student Cell Phone (if applicable)
Student Date of Birth *
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DD
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Student Gender *
Student Ethnicity *
Is this student hispanic/latino? (a person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin, regardless of race)
Student Primary Race *
Select the student's primary race.
Student Race (if more than primary listed above)
Select other races that apply to student in addition to the primary race listed above.
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