2022-2023 Park Hill Professional Studies Application
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Date: *
MM
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DD
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YYYY
First Name: *
Last Name: *
Middle Initial: *
Phone: *
Email: *
High School: *
Current Grade Level *
Counselor: *
I am interested in the following class.   (Advanced courses require completion of at least one Professional Studies course) *
Required
Program expectations:   1)  95 % attendance policy, students not meeting this expectation may be dropped from the program.   2)  Professional dress and behavior.   3)  Internships require time outside of typical school hours *
Required
Below are 16 career clusters.  Please check the boxes that you are interested exploring as a career. *
Required
List any specific position, industry or professional experience you are interested in. *
Do you have a contact of someone who will agree to you doing an internship at their company and/or organization? (not applicable for aspiring medical professionals).  If so, please list their name and contact information, or write N/A. *
Please list any extracurricular activity that you plan to participate in at school.  Please indicate when they take place (fall, winter, spring) or write N/A. *
Will you have your own transportation to and from your internship? *
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