Application Form
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Gender

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Please Select Race/Ethnicity: (check all that apply)

American Indian or Alaskan Native

Hawaiian American or other Pacific Islander

Asian

Hispanic

Black or African American

Latino

White

Career Technical Program Choices:  Please select your first and second choices. 
Note selection does not guarantee acceptance in any career technical program.

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Primary Household Information

Please enter contact information for the student's primary parent/guardian in his/her primary household

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Please enter contact information for the student's secondary parent/guardian in his/her primary household

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Please enter the student's primary household mailing address

Please enter the primary household phone number.  This is the phone number you wish to use to receive offices calls (attendance, robo-calls, etc)

Secondary Household Information

Please enter contact information for the student's primary parent/guardian in his/her secondary household

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Please enter contact information for the student's secondary parent/guardian in his/her secondary household

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Please enter the student's secondary household mailing address

Please enter the secondary household phone number.  This is the phone number you wish to use to receive office calls (attendance, robo-calls, etc)

Permission

Permission is granted for my child to attend the Washington County Career Center. I also grant permission for
the home school personnel to transfer all student records, including EOC, ACT, SAT and WorkKeys test results

and multifactored evaluation and current IEP, if applicable to the Career Center staff.

To grant permission for your student to apply both the student and the primary parent or guardian need to check the boxes below and enter their respective initials.

Parent/Guardian Permission

Student Permission