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Summer 2021 SVT Skill Center Enrollment Request
June 22- July 9 (no class on July 5th), 8:00-2:30 PM.
All classes are free.
Students earn .5 CTE credit.
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Student Last Name
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Student First Name
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Student Email
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Optional- Student Phone Number
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Mailing Address
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Parent/Guardian 1 Name (First and Last)
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Parent/Guardian 1 Email
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Parent/Guardian 1 Phone Number
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Optional- Parent/Guardian 2 Name (First and Last)
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Optional- Parent/Guardian 2 Email
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Optional- Parent/Guardian 2 Phone Number
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Home High School
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What grade will you be in for the 2021-22 school year?
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9th
10th
11th
12th
Birthdate
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Gender
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Race
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Asian
Black
Hispanic
Native American
White
Multiracial
Other:
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City / State / Country of Birth
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Course Enrollment Request
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Pre-Med / Students of Medicine (in partnership with WSU College of Medicine)
Introduction to Engineering
Introduction to Manufacturing
Introduction to Computer Science
Introduction to Fire Science
Parent/Guardian Signature Date
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