STUDENT APPLICATION 2024-2025
Thank you for your interest in attending the Coshocton County Career Center!

Applications are processed on a first-come, first-serve basis until programs are filled.
Waiting lists will generate once programs are full.  

If you have questions, please call 740-622-0211



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STUDENT EMAIL
Use your school-assigned email
 *
STUDENT FIRST NAME
As it appears on your birth certificate
Use proper capitalization
 *
STUDENT MIDDLE NAME
As it appears on your birth certificate
Use proper capitalization
 *
STUDENT LAST NAME
As it appears on your birth certificate
Use proper capitalization
 *
STUDENT DATE of BIRTH

MM / DD / YYYY
 *
MM
/
DD
/
YYYY
STUDENT CITY & STATE OF BIRTH
As it appears on your birth certificate
Use proper capitalization
 *
HOME HIGH SCHOOL *
ANTICIPATED GRADUATION YEAR *
PARENT / GUARDIAN FIRST & LAST NAMES
Use proper capitalization
 *
ADDRESS 

DO NOT ENTER YOUR CITY / STATE / ZIP HERE
Enter ONLY YOUR HOUSE NUMBER & STREET  -OR-  PO BOX

Use proper capitalization and abbreviations

Example:   123 Main St.
Example:   PO BOX 123
Example:  12345 TR 678
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CITY / STATE / ZIP CODE
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STUDENT CELL NUMBER *
PARENT / GUARDIAN CELL NUMBER *
PARENT / GUARDIAN EMAIL *
PROGRAM CHOICE 1 *
PROGRAM CHOICE 2 *

DO YOU PLAN TO ATTEND THE CAREER CENTER FULL TIME FOR BOTH YOUR LAB AND YOUR ACADEMICS?

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The Board of Education does not discriminate on the basis of the Protected Classes of race, color, national origin, sex (including sexual orientation and transgender identity), disability, age (except as authorized by law), religion, military status, ancestry, or genetic information (collectively, “Protected Classes") in its educational programs or activities. 

Parent/Guardian: By typing your FULL name below and pressing the submit button, you are confirming you have discussed this education plan with your child and give CCCC permission to process this application.
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