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CTE Application

Applicant Information
Are you a Highschool student or an Adult?* Adult is 18 and over and not enrolled in a high schoolAge CategoryHigh School StudentAdultVermont Adult Learning	Do you have a Highschool Diploma? Required for Adults onlyDiplomaNoYes
Legal First Name*	Middle Name	Legal Last Name*	Preferred First Name
Date of Birth*	Gender*GenderFemaleMaleNonBinary	Current Grade*Grade9101112Adult

Sending School*Sending SchoolBellows Free Academy FairfaxBellows Free AcademySaint AlbansBurlington High SchoolColchester High SchoolChamplain Valley Union High SchoolEssex High SchoolHome SchoolLamoille Union High SchoolMilton High SchoolMt Mansfield Union High SchoolOtherRice Memorial High SchoolSouth Burlington High SchoolWinooski High School

If Other, Sending School Name

Sending School Counselor Full Name*

Sending School Counselors Email Address*

Applicant Home Phone	Applicant Cell Phone	Applicant Email Address*
Physical Address
Street Address*	Physical City/Town*	State*	Zip Code*
Is your Mailing Address the same as your Physical Home Address?*Mailing vs Physical Home AddressYesNo

Mailing Address
Street Address*	City*	State*	Zip Code*

Admission Information

Have you done your CTE visit?*  CTE VisitYesNo

Which Program are you applying to?*  First OptionAutomotive TechnologyBuilding TechnologyResidentialBuilding Systems HVACPlumbing ElectricalComputer Animation Web DesignChildhood EducationHuman ServicesCosmetologyComputer Systems TechnologyDesign and Creative MediaDental AssistingEngineering and Architecture DesignNatural Resources ForestryNatural Resources MechanicalProfessional Foods

What is your second choice?*  Second OptionAutomotive TechnologyBuilding TechnologyResidentialBuilding Systems HVACPlumbing ElectricalComputer Animation Web DesignChildhood EducationHuman ServicesCosmetologyComputer Systems TechnologyDesign and Creative MediaDental AssistingEngineering and Architecture DesignNatural Resources ForestryNatural Resources MechanicalProfessional Foods

Are you a returning CTE Student?* This includes Intro to Engineering studentsReturning Student

Have you done a your CTE visit?*CTE VisitYesNo

Which Program are you applying to?*First OptionPreTech 2 IT DesignEngineering Arts

What is your second choice?Second OptionPreTech 2 IT DesignEngineering Arts

If returning CTE Student, what is your current program?*Current ProgramAutomotive TechnologyAutomotive Technology 2Building TechnologyResidentialBuilding TechnologyResidential 2Building Systems HVAC Plumbing ElectricalComputer Animation Web DesignComputer Animation Web Design 2Childhood EducationHuman ServicesChildhood EdHuman Services 2Cosmetology Cosmetology 2Computer Systems TechnologyComputer Systems Technology 2Design and Creative MediaDesign and Creative Media 2Dental AssistingEngineering and Architecture DesignEngineering and Architecture Design 2Health ProfessionsNatural Resources ForestryNatural Resources MechanicalPreTech 1 Building ArtsSmall EnginesPreTech 2 IT DesignEngineering ArtsPreTech 3 HealthHuman ServicesPreTech 4 Natural ResourcesPreTech 5 HospitalityPro FoodsProfessional FoodsProfessional Foods 2Introduction to EngineeringDental Assisting 2Building Systems HVAC Plumbing Electrical 2

Primary Guardian
Parent/Guardian Name*	Relationship to Applicant*RelationshipParent 1Parent 2Grandparent StepParent SpouseSiblingGuardianDCFFoster ParentCase ManagerOtherMotherFather	Email Address*	Phone*
Physical Street Address*	Physical City/Town*	State*	Zip Code*
Guardian # 2
Parent/Guardian Name	Relationship to ApplicantRelationshipParent 1Parent 2Grandparent StepParent SpouseSiblingGuardianDCFFoster ParentCase ManagerOtherMotherFather	Email Address	Phone
Physical Street Address	Physical City/Town	State	Zip Code

Digital Signature (Repeat the Listed Below Text) *