Northland Career Center Application Park Hill High School STUDENT
Welcome to Northland Career Center of Platte City, Missouri. Please complete the form in full. Students must be an incoming junior or senior to enroll. If you have any questions, please contact Mr. Webster or Mrs. Walleman at (816) 858-5505.

NCC Mission: To prepare students for a continually changing world by providing relevant experiences.

First Name *
Your answer
Middle Initial *
Your answer
Last Name *
Your answer
Home School *
Select your grade level for next year (2019-2020). *
Street Address *
EXAMPLE: 555 Oak Street - Apt 5
Your answer
City *
State *
Zip Code *
Please type your 5-digit zip code. (For example: 64079)
Your answer
County *
Student HOME Phone *
EXAMPLE: (816) 555-5555 / (Type "N/A" if no student HOME phone)
Your answer
Student CELL Phone *
EXAMPLE: (816) 555-5555 / (Type "N/A" if no student CELL phone)
Your answer
Student EMAIL *
EXAMPLE: / (Type "N/A" if no student EMAIL)
Your answer
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