LCCTC APPLICATION for 2nd Semester 2020-2021
Please fill out this online application to LCCTC. Once this has been filled out, request that your Guidance Counselor send over your grades, attendance and discipline record. Your start date would be January 20th, 2021.  
Email *
Student Name (last, first, middle) *
Please select your ethnicity *
Are you Hispanic, Latino or of Spanish Origin? *
Do you have an IEP? *
Student's Birthdate *
What is your current grade? *
Students Home Address *
Students Home District (what school do you currently attend?) *
Primary Contact's Name and Phone Number  (this would be a parent/guardian - please indicate their relation) *
Any additional parent/guardian contact (list name, relation and phone number)
Program of Choice (choose one) *
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