2021-2022 GMTCC Admissions Form
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Student Name:

Current Grade Level:

Date:

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Partner School:

Partner School Counselor:

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GMTCC ADMISSIONS FORM
Additional Educational Information & Transcript Review
(to be completed by Partner School Counselor)
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*Please note that State and Federal Law requires the application process at GMTCC to be blind to student disabilities. To preserve the process, we request that the application does NOT include any information about a student’s disability status, such as IEP or 504 information.
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The following documents must be included in admissions applications:
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GMTCC ADMISSIONS FORM
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High School Transcript
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Most Recent Report Card/Mastery Report
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Attendance Record - Number of Days Absent this school year: __________ Number of Days Tardy this school year: ____________
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Discipline Record - Behavior/Discipline Concerns (Check One): YES: ____ NO: ____ Days assigned ISS/OSS this school year: _____
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COURSEWORK COMPLETE AND CURRENT YEAR COURSEWORK IN PROGRESS
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Course work required for graduation Number of credits, courses or experiences required for graduation9th 10th11th12thOTHER
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English
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Math
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Science
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Social Studies
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Art
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PE
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Health
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Electives
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Other
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I agree that this applicant meets the prerequisite requirements for admission to GMTCC and is on a clear and reasonable path to graduation through the successful completion of grade level requirements, as evidenced by a passing grade or attainment of course proficiencies, indicators, or learning targets. I also agree that this applicant can meet the academic requirements of the program selected and can conduct themselves in a manner as to ensure their safety and the safety of others. If applicable, I verify that the student's current 504/IEP team has met prior to submitting this application and has made an informed decision to recommend this student's application based upon familiarity with the program's expectations, rigor and content.


School Counselor Signature: ______________________________________________ Date: _____________________________
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The Lamoille North Modified Unified Union School District/Green Mountain Technology & Career Center does not discriminate on the basis of race, color, national origin, sex, disability, religion, sexual orientation, gender identity, age, and marital/civil union status in admission or access to, or treatment or employment in, its programs and activities. The Lamoille North Supervisory Union/Green Mountain Technology & Career Center provides equal access to the Boy Scouts and other designated youth groups.
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