ACC CTE Enrollment Form 2020 - 2021
Area Career Center-Career and Technical Education Enrollment Form

**This form is only for ACC Career and Tech Ed (CTE) students from our 12 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 *
Your answer
Student Legal Middle Name
Your answer
Student Legal Last Name *
Your answer
Student Social Security Number
This is required by Federal Law. Please do your best to find your SSN and input it with NO hyphens or spaces
Your answer
Student Birthdate *
MM
/
DD
/
YYYY
Legal Sex/Gender *
Home Street Address *
Capitalize first letter of Street Address and enter ie, St, Ave, Dr, Blvd, or Pl
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Primary Home Number *
Format (XXX) XXX-XXXX, if none, enter guardian contact number
Your answer
Student Cell Phone Number *
Format (XXX) XXX-XXXX
Your answer
Student E-Mail Address
Your answer
Ethnicity *
Is the Student Hispanic or Latino? Either: 0=No or 1=Yes
Race/Ethnic Group *
Grade you will enter in the 2020-2021 school year (Next year). *
Next
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