ACC CTE Enrollment Form 2018-2019
Area Career Center-Career and Technical Education Enrollment Form
**This form is only for ACC Career and Tech Ed (CTE) students from our 11 partner high schools. This is not for ACC University or Adult Education students. It will take approximately 10-15 minutes to complete.
Home High School
Student Legal First Name
Student Legal Middle Name
Student Legal Last Name
Student Social Security Number (NO hyphens or spaces please)
This is required by Federal law. Please do your best to find your SSN and input it.
Home Street Address
Student Cell Phone Number or Home Number
Please--NO hyphens, parentheses, spaces, or periods for all phone numbers. Use format: ##########. If you do not have a personal cell phone, please use your home phone number or the main number to contact you.
Emergency Phone Number
Should be different from home phone number. Use format: ##########.
Student E-Mail Address
Either: 1=Hispanic or 2=Other
Asian Pacific Islander
White, not Hispanic
Grade you will enter in the 2018-2019 school year (Next year).
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This form was created inside of School City of Hammond.