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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 StudentAdult		Do you have a Highschool Diploma? Required for Adults onlyDiplomaYesNo
Legal First Name*	Middle Name	Legal Last Name*	Preferred name * This will appear on all documentation / communications sent home.
Date of Birth*	Gender*GenderFemaleMaleNonBinary	Current Grade*Grade9101112Adult

Sending School*Sending SchoolBellows Free Academy FairfaxBellows Free Academy St. AlbansBurlington High SchoolChamplain Valley Union High SchoolColchester 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 Cell Phone	Applicant Email Address*
Physical Address
Street Address*	Physical City/Town*CityADDISONALBANYALBURGHBAKERSFIELDBARNETBARRE CITYBARRE TOWNBARTONBELVIDEREBERKSHIREBERLINBETHELBOLTONBRIDPORTBRIGHTONBRISTOLBROWNINGTONBURLINGTONCABOTCALAISCAMBRIDGECHARLESTONCHARLOTTECHELSEACOLCHESTERCORNWALLCOVENTRYCRAFTSBURYDANVILLEDERBYDUXBURYEAST MONTPELIEREDENELMOREENOSBURGHESSEX JUNCTIONESSEX TOWNFAIRFAXFAIRFIELDFAYSTONFERRISBURGHFLETCHERFRANKLINGEORGIAGLOVERGRAND ISLEGRANVILLEGREENSBOROHANCOCKHARDWICKHIGHGATEHINESBURGHOLLANDHUNTINGTONHYDE PARKIRASBURGISLE LAMOTTEJAYJERICHOJOHNSONLOWELLMARSHFIELDMIDDLEBURYMIDDLESEXMILTONMONKTONMONTGOMERYMONTPELIERMORETOWNMORGANMORRISTOWNNEW HAVENNEWPORT CITYNEWPORT TOWNNORTH HERONORTHFIELDORANGEORLEANSPANTONPEACHAMPLAINFIELDRICHFORDRICHMONDRIPTONROCHESTERROXBURYROYALTONSALISBURYSHARONSHELBURNESHELDONSHOREHAMSOUTH BURLINGTONSOUTH HEROST ALBANS CITYST ALBANS TOWNST GEORGESTANNARDSTARKSBOROSTOCKBRIDGESTOWESTRAFFORDSWANTONTROYTUNBRIDGEUNDERHILL TOWNVERGENNESWAITSFIELDWALDENWALTHAMWARRENWASHINGTONWATERBURYWATERFORDWATERVILLEWESTFIELDWESTFORDWEYBRIDGEWILLIAMSTOWNWILLISTONWINOOSKIWOLCOTTWOODBURYWORCESTER	State*	Zip Code*
Is your Mailing Address the same as your Physical Home Address?*Mailing vs Physical Home AddressYesNo

Mailing Address
Street Address*	City*CityADDISONALBANYALBURGHBAKERSFIELDBARNETBARRE CITYBARRE TOWNBARTONBELVIDEREBERKSHIREBERLINBETHELBOLTONBRIDPORTBRIGHTONBRISTOLBROWNINGTONBURLINGTONCABOTCALAISCAMBRIDGECHARLESTONCHARLOTTECHELSEACOLCHESTERCORNWALLCOVENTRYCRAFTSBURYDANVILLEDERBYDUXBURYEAST MONTPELIEREDENELMOREENOSBURGHESSEX JUNCTIONESSEX TOWNFAIRFAXFAIRFIELDFAYSTONFERRISBURGHFLETCHERFRANKLINGEORGIAGLOVERGRAND ISLEGRANVILLEGREENSBOROHANCOCKHARDWICKHIGHGATEHINESBURGHOLLANDHUNTINGTONHYDE PARKIRASBURGISLE LAMOTTEJAYJERICHOJOHNSONLOWELLMARSHFIELDMIDDLEBURYMIDDLESEXMILTONMONKTONMONTGOMERYMONTPELIERMORETOWNMORGANMORRISTOWNNEW HAVENNEWPORT CITYNEWPORT TOWNNORTH HERONORTHFIELDORANGEORLEANSPANTONPEACHAMPLAINFIELDRICHFORDRICHMONDRIPTONROCHESTERROXBURYROYALTONSALISBURYSHARONSHELBURNESHELDONSHOREHAMSOUTH BURLINGTONSOUTH HEROST ALBANS CITYST ALBANS TOWNST GEORGESTANNARDSTARKSBOROSTOCKBRIDGESTOWESTRAFFORDSWANTONTROYTUNBRIDGEUNDERHILL TOWNVERGENNESWAITSFIELDWALDENWALTHAMWARRENWASHINGTONWATERBURYWATERFORDWATERVILLEWESTFIELDWESTFORDWEYBRIDGEWILLIAMSTOWNWILLISTONWINOOSKIWOLCOTTWOODBURYWORCESTER	State*	Zip Code*

Admission Information

Have you done your CTE visit?*  CTE VisitNoYes

Which Program are you applying to?*  First OptionAutomotive TechnologyAutomotive Technology 2Building Technology Mechanical Systems:HVACBuilding Technology Mechanical Systems:HVAC 2Building Technology ResidentialBuilding Technology Residential 2Childhood Education and Human ServicesChildhood Education and Human Services 2Computer Systems TechnologyComputer Systems Technology 2CosmetologyCosmetology 2Dental AssistingDental Assisting 2Design and Creative MediaDesign and Creative Media 2Emergency ServicesEngineering and Architectural DesignEngineering and Architectural Design 2Gaming Animation and Web DevelopmentGaming Animation and Web Development 2Health ProfessionsNatural Resources ForestryNatural Resources MechanicalProfessional FoodsProfessional Foods 2

What is your second choice?*  Second OptionAutomotive TechnologyAutomotive Technology 2Building Technology Mechanical Systems:HVACBuilding Technology Mechanical Systems:HVAC 2Building Technology ResidentialBuilding Technology Residential 2Childhood Education and Human ServicesChildhood Education and Human Services 2Computer Systems TechnologyComputer Systems Technology 2CosmetologyCosmetology 2Dental AssistingDental Assisting 2Design and Creative MediaDesign and Creative Media 2Emergency ServicesEngineering and Architectural DesignEngineering and Architectural Design 2Gaming Animation and Web DevelopmentGaming Animation and Web Development 2Health ProfessionsNatural Resources ForestryNatural Resources MechanicalProfessional FoodsProfessional Foods 2

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

Have you done a your CTE visit?*  CTE VisitNoYes

Which Program are you applying to?*  First OptionPreTech 1 Building Arts and Small EnginesPreTech 2 IT Design-Engineering ArtsPreTech 3 Health and Human ServicesPreTech 4 Natural Resources

What is your second choice?  Second OptionPreTech 1 Building Arts and Small EnginesPreTech 2 IT Design-Engineering ArtsPreTech 3 Health and Human ServicesPreTech 4 Natural Resources

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

If returning CTE Student, what is your current program?*Current ProgramAutomotive TechnologyAutomotive Technology 2Building Technology Mechanical Systems:HVACBuilding Technology Mechanical Systems:HVAC 2Building TechnologyResidentialBuilding TechnologyResidential 2Childhood Education and Human ServicesChildhood Education and Human Services 2Computer Systems TechnologyComputer Systems Technology 2Cosmetology Cosmetology 2Dental AssistingDental Assisting 2Design and Creative MediaDesign and Creative Media 2Emergency ServicesEngineering and Architectural DesignEngineering and Architectural Design 2Gaming Animation Web DevelopmentGaming Animation Web Development 2Health ProfessionsIntroduction to EngineeringNatural Resources ForestryNatural Resources MechanicalPreTech 1 Building ArtsSmall EnginesPreTech 2 IT DesignEngineering ArtsPreTech 3 HealthHuman ServicesPreTech 4 Natural ResourcesProfessional FoodsProfessional Foods 2

Primary Guardian
Parent/Guardian First Name	Parent/Guardian Last Name	Relationship to Applicant*RelationshipCase ManagerDCFFatherFoster ParentGrandparent GuardianMotherOtherSiblingSpouseStepParent	Email Address*	Phone*
Does Primary Guardian live with the applicant?*Lives WithYesNo

Physical Street Address*

Physical City/Town*CityADDISONALBANYALBURGHBAKERSFIELDBARNETBARRE CITYBARRE TOWNBARTONBELVIDEREBERKSHIREBERLINBETHELBOLTONBRIDPORTBRIGHTONBRISTOLBROWNINGTONBURLINGTONCABOTCALAISCAMBRIDGECHARLESTONCHARLOTTECHELSEACOLCHESTERCORNWALLCOVENTRYCRAFTSBURYDANVILLEDERBYDUXBURYEAST MONTPELIEREDENELMOREENOSBURGHESSEX JUNCTIONESSEX TOWNFAIRFAXFAIRFIELDFAYSTONFERRISBURGHFLETCHERFRANKLINGEORGIAGLOVERGRAND ISLEGRANVILLEGREENSBOROHANCOCKHARDWICKHIGHGATEHINESBURGHOLLANDHUNTINGTONHYDE PARKIRASBURGISLE LAMOTTEJAYJERICHOJOHNSONLOWELLMARSHFIELDMIDDLEBURYMIDDLESEXMILTONMONKTONMONTGOMERYMONTPELIERMORETOWNMORGANMORRISTOWNNEW HAVENNEWPORT CITYNEWPORT TOWNNORTH HERONORTHFIELDORANGEORLEANSPANTONPEACHAMPLAINFIELDRICHFORDRICHMONDRIPTONROCHESTERROXBURYROYALTONSALISBURYSHARONSHELBURNESHELDONSHOREHAMSOUTH BURLINGTONSOUTH HEROST ALBANS CITYST ALBANS TOWNST GEORGESTANNARDSTARKSBOROSTOCKBRIDGESTOWESTRAFFORDSWANTONTROYTUNBRIDGEUNDERHILL TOWNVERGENNESWAITSFIELDWALDENWALTHAMWARRENWASHINGTONWATERBURYWATERFORDWATERVILLEWESTFIELDWESTFORDWEYBRIDGEWILLIAMSTOWNWILLISTONWINOOSKIWOLCOTTWOODBURYWORCESTEROTHER

State*

Zip Code*

Other City/Town*

Guardian # 2
Parent/Guardian First Name	Parent/Guardian Last Name	Relationship to ApplicantRelationshipCase ManagerDCFFatherFoster ParentGrandparent GuardianMotherOtherSiblingSpouseStepParent	Email Address	Phone
Does Guardian #2 live with the applicant?*Lives WithYesNo

Physical Street Address

Physical City/TownCityADDISONALBANYALBURGHBAKERSFIELDBARNETBARRE CITYBARRE TOWNBARTONBELVIDEREBERKSHIREBERLINBETHELBOLTONBRIDPORTBRIGHTONBRISTOLBROWNINGTONBURLINGTONCABOTCALAISCAMBRIDGECHARLESTONCHARLOTTECHELSEACOLCHESTERCORNWALLCOVENTRYCRAFTSBURYDANVILLEDERBYDUXBURYEAST MONTPELIEREDENELMOREENOSBURGHESSEX JUNCTIONESSEX TOWNFAIRFAXFAIRFIELDFAYSTONFERRISBURGHFLETCHERFRANKLINGEORGIAGLOVERGRAND ISLEGRANVILLEGREENSBOROHANCOCKHARDWICKHIGHGATEHINESBURGHOLLANDHUNTINGTONHYDE PARKIRASBURGISLE LAMOTTEJAYJERICHOJOHNSONLOWELLMARSHFIELDMIDDLEBURYMIDDLESEXMILTONMONKTONMONTGOMERYMONTPELIERMORETOWNMORGANMORRISTOWNNEW HAVENNEWPORT CITYNEWPORT TOWNNORTH HERONORTHFIELDORANGEORLEANSPANTONPEACHAMPLAINFIELDRICHFORDRICHMONDRIPTONROCHESTERROXBURYROYALTONSALISBURYSHARONSHELBURNESHELDONSHOREHAMSOUTH BURLINGTONSOUTH HEROST ALBANS CITYST ALBANS TOWNST GEORGESTANNARDSTARKSBOROSTOCKBRIDGESTOWESTRAFFORDSWANTONTROYTUNBRIDGEUNDERHILL TOWNVERGENNESWAITSFIELDWALDENWALTHAMWARRENWASHINGTONWATERBURYWATERFORDWATERVILLEWESTFIELDWESTFORDWEYBRIDGEWILLIAMSTOWNWILLISTONWINOOSKIWOLCOTTWOODBURYWORCESTEROTHER

State

Zip Code

Other City/Town