Anderson HIGH SCHOOL D26 Career Center

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D-26 Enrollment form for CTE programs at Anderson Career Center for new and returning applicants (HIGH SCHOOL JUNIORS and SENIORS ONLY). The application deadline is March 31, 2022. All CTE classes for the 2022-2023 school year are expected to be in-person. If you have a change of mind after submitting your application, contact your counselor with your revised request. Please use correct grammar and spelling, and capitalize your name, street, city, and state. Double-check your work before submitting.

jneal@acsc.net

Email *

Last Name *

First Name *

Middle Initial

Student's current high school *

Grade That You Will Be Entering in 2022 - 2023 *

Student Test Number (STN)

Social Security Number *

Birthday *

YYYY

Gender *

Home Address *

City *

State *

Zip Code *

First and last name of Parent/Guardian *

Parent/Guardian Home Phone/Cell Phone (No Hyphens 1234567891) *

First and last name of Additional Parent/Guardian

Additional Parent/Guardian Home Phone/Cell Phone (No Hyphens 1234567891)

Student's Cell Phone Number (No Hyphens 1234567891) *

Race| Ethnic Group *

American Indian

Asian

African American

Hispanic

White

Pacific Islander

Option 7

Other:

Required

Will this be your first or second year attending Anderson Career Center?

First Year

Second Year

Clear selection

Program Request 1st Choice *

Program Request 2nd Choice Back-Up *

Program Request 3rd Choice Back-Up *

Submit

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