Chicago Tech Academy 2018-2019 Student Application
1301 W. 14th St.
Chicago, IL 60608

Phone: 773-534-0855 or 773-534-0895
Fax: 773-534-7757

Email: admissions@chicagotechacademy.org

Website: www.chitech.org

This application is valid for the 2018-2019 School Year Only

Note: This application is for students who graduated 8th grade, and would like to attend Chicago Tech for the 2018-2019 school year.

CPS ID Number
Your answer
Grade applying to: *
Required
Student First Name *
Your answer
Student Last Name *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
City *
State *
Zip Code *
Your answer
Current School *
Your answer
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Phone Number *
Your answer
Alternate Phone Number *
Your answer
Parent/Guardian Email Address
Your answer
Student Email Address
Your answer
Acknowledgement *
Required
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