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CTE Application

Applicant Information
Is a high school student, or an adult?*Age CategoryHigh School StudentAdultVermont Adult Learning	Do you have a Highschool Diploma?*DiplomaNoYes
First Name*	Middle Name	Last Name*
Date of Birth*	Gender*GenderFemaleMaleNon-Binary	Current Grade*Grade9101112Adult

Sending School*Sending SchoolBellows Free Academy - FairfaxBurlington High SchoolColchester High SchoolChamplain Valley Union High SchoolEssex High SchoolHome SchoolLamoille Union High SchoolMilton High SchoolMt. Mansfield Union High SchoolOtherSouth 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*
Home Address
Street Address*	City*	State*	Zip Code*
Mailing Address is the same as the Home Address*Mail vs HomeYesNo

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

Admission Information

Have you done a physical or virtual tour?*CTE TourYesNo

Which Program are you applying to?*First OptionAutomotive TechnologyAutomotive Technology 2Building Technology-ResidentialBuilding Technology-Residential 2Building Systems - HVAC,Plumbing & ElectricalBuilding Systems - HVAC,Plumbing & Electrical 2Computer Animation & Web DesignComputer Animation & Web Design 2Childhood Education/Human ServicesChildhood Ed/Human Services 2CosmetologyCosmetology 2Computer Systems TechnologyComputer Systems Technology 2Design and Creative MediaDesign and Creative Media 2Dental AssistingDental Assisting 2Engineering and Architecture DesignEngineering and Architecture Design 2Health ProfessionsNatural Resources - ForestryNatural Resources - MechanicalProfessional FoodsProfessional Foods 2

What is your second choice?*Second OptionAutomotive TechnologyAutomotive Technology 2Building Technology-ResidentialBuilding Technology-Residential 2Building Systems - HVAC,Plumbing & ElectricalBuilding Systems - HVAC,Plumbing & Electrical 2Computer Animation & Web DesignComputer Animation & Web Design 2Childhood Education/Human ServicesChildhood Ed/Human Services 2CosmetologyCosmetology 2Computer Systems TechnologyComputer Systems Technology 2Design and Creative MediaDesign and Creative Media 2Dental AssistingDental Assisting 2Engineering and Architecture DesignEngineering and Architecture Design 2Health ProfessionsNatural Resources - ForestryNatural Resources - MechanicalProfessional FoodsProfessional Foods 2

Are you a returning CTE Student?*Returning StudentYesNo

Have you done a physical or virtual tour?*CTE TourYesNo

Which Program are you applying to?*First OptionPre-Tech 1: Building Arts/Small EnginesPre-Tech 2: IT Design/Engineering & ArtsPre-Tech 3: Health/Human ServicesPre-Tech 4: Natural ResourcesPre-Tech 5: Hospitality/Pro Foods

What is your second choice?Second OptionPre-Tech 1: Building Arts/Small EnginesPre-Tech 2: IT Design/Engineering & ArtsPre-Tech 3: Health/Human ServicesPre-Tech 4: Natural ResourcesPre-Tech 5: Hospitality/Pro Foods

If returning CTE Student, what is your current program?*Current ProgramAutomotive TechnologyAutomotive Technology 2Building Technology-ResidentialBuilding Technology-Residential 2Building Systems - HVAC Plumbing & ElectricalComputer Animation & Web DesignComputer Animation & Web Design 2Childhood Education/Human ServicesChildhood Ed/Human 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 - MechanicalPre-Tech 1: Building Arts/Small EnginesPre-Tech 2: IT Design/Engineering & ArtsPre-Tech 3: Health/Human ServicesPre-Tech 4: Natural ResourcesPre-Tech 5: Hospitality/Pro FoodsProfessional FoodsProfessional Foods 2Introduction to EngineeringDental Assisting 2Building Systems - HVAC Plumbing & Electrical 2

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

Digital Signature (Repeat the Listed Below Text) *