2019-2020 Genesee Career Institute (GCI) Application
Please complete this form if you are a student planning to attend Genesee Career Institute for the FIRST time in (2019-2020).

You will need the following information to fill out this form:

Part I: Student information including email
Part II: First and second course choices
Part III: Parent contact information

The deadline to apply is Friday, January 18, 2019.

Part I: Student Information
Student ID Number *
Your answer
Student First Name *
Your answer
Student Middle Name *
Your answer
Student Last Name *
Your answer
I currently attend: *
Current Grade Level *
Student Email Address *
Your answer
Gender *
Date of Birth *
Race/Ethnicity *
Home Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Student Phone Number *
Your answer
Part II: Course Requests
1st Program Choice *
2nd Program Choice
Session Preference (1st choice) *
Session Preference (2nd choice)
Part III: Parent Information
Parent/Guardian Name *
Your answer
Parent/Guardian Relationship *
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email Address *
Your answer
Do you Live with this Parent/Guardian? *
Thank you for your interest in GCI!
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