Norborne Tech Center Application
Please fill out and make sure you pick your top 2 program choices. Our priority deadline is January 24, 2023.
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Last Name *
First Name *
Middle Name *
What High School do you attend? *
1st Choice Program. *
2nd Choice Program. *
Home Address *
City *
Zip Code *
Student Cell/Home Phone Number 
Example: 6602591234
 *
Student Email Address *
Current Grade Level *
PARENT/LEGAL GUARDIANS
Please complete the following questions with information on your parent or legal guardian.
First Parent/Guardian (First and Last Name) *
First Parent/Guardian Phone Number  *
First Parent/Guardian Email Address *
Second Parent/Guardian (First and Last Name)
Second Parent/Guardian Phone Number
Second Parent/Guardian Email Address
ESSAY QUESTIONS
Answer in paragraph form.
Explain why you believe you are a good candidate for your 1st choice of program at Lex La-Ray?  *
Why are you interested in enrolling in your 2nd choice of program?
Describe what you know about careers related to these programs and how it might help you reach your educational and career goals. *
Submit
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