Porter County CTE Enrollment Form 2022-2023
Enrollment form for all countywide CTE programs--Priority deadline is Feb. 4, 2022, for new applicants and Jan. 31, 2022, for potential second-year returning students. You may continue to apply. If you change your mind after submitting an application, talk to your school counselor and email Dheitmann@valpo.k12.in.us with your revised request. Expect a CTE class to be an in-person class. Please use correct grammar and spelling. Capitalize your name, street name, city, state, and other proper nouns. Check over your work.
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Email *
Legal Last Name of student *
Legal First Name of student *
Legal Middle Initial
Your Student Test Number (STN )
Leave completely blank if you don't know it. No worries. It is a number issued by the state for taking tests such as ISTEP.
Your Social Security Number (NO hyphens or spaces please) *
This is required by law, as we receive Federal Funding
Birthdate *
Example: 03/02/2004
MM
/
DD
/
YYYY
Sex/Gender *
Home Address: Street *
The name of your street should be capitalized. Your house number goes before the street name. Example: 12 Washington Ave. For an apartment, put something like 510 Smith St. #107. Another example: 100 S. 500 E. Another example: 400 Canright Cir.
City *
The name of a city is capitalized.
State *
Zip Code *
5 digits, please
Parent Home Phone or Parent Main Cell Number *
Please--NO hyphens, parentheses, spaces, or periods for all phone numbers. Use format: 999-999-9999 or 9999999999.
Your (student) Cell Number
Use format 999-999-9999 or 9999999999
Emergency Phone number
Should be different from home phone number. Use format: 999-999-9999 or 9999999999
Your (student) personal email (not issued by school); parent email (emails are separated by semi-colon) *
Race/Ethnic Group (you can check more than one) *
I = American Indian; A = Asian; B = African American; H = Hispanic; P = Pacific Islander; W = White
Required
Grade you will enter in the 2022-2023 school year (next year) *
Program Requested 1st Choice *
Program Requested 2nd Choice (we strongly recommend backup choices) *
Program Requested 3rd Choice (we strongly recommend backup choices)
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