2023-2024 Academy of Professional Educators Application Middle Creek HS 
This form is for the MCHS Academy of Professional Educators at Middle Creek High School.
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Applications to attend the Academy of Professional Educators at Middle Creek High School will only be processed if the student is assigned to Middle Creek High School.
Thank you for applying for membership into the Middle Creek High School Career Academy.  This application is for the Academy of Professional Educators. This is a unique opportunity for you to participate in a small, career‐focused, learning community with other students who share many of the same interests.

Please read over all information carefully and enter your information correctly so that the application may be processed.

More information about the Adobe Digital Media Academy can be found at http://www.mchsdigitalmedia.com/

Questions can be addressed to
Julie Murray - Academy Coordinator
at ​(919)773-3838 ext 21907
or by email at jmurray2@wcpss.net
STUDENT INFORMATION
Student First Name *
Student Last Name *
Current School *
Student ID Number (if already assigned one)
Street Address *
City *
Zip Code *
Student Phone (Cell) *
Student e-mail address *
Parent / Guardian Information
Parent / Guardian Name *
Please include first and last name.
Parent / Guardian Relationship with student *
ie. Mother, Father, Aunt, Grandparent
Parent / Guardian e-mail address *
Parent / Guardian Phone Number *
Home Number or Cell Number where parent / guardian can be reached.
Secondary Parent / Guardian Name
Please include first and last name.
Secondary Parent / Guardian Relationship with student
ie. Mother, Father, Aunt, Grandparent
Secondary e-mail address
Secondary Parent / Guardian Phone Number
Home Number or Cell Number where parent / guardian can be reached.
Supplemental Information
This section should be filled out by ONLY the student applying.
Write a brief statement explaining why you would like to be a part of this Academy *
Which foreign language do you plan to study in high school? *
Application Completion and Information
We accept up to 24 students into each academy, each year.
Student Signature *
Enter your full name as your signature.
THANK YOU!
In compliance with federal law, Wake County Public School System administers all education programs, employment activities and admissions without discrimination against any person on the basis of gender, race, color, religion, national origin, age or disability.
A copy of your responses will be emailed to the address you provided.
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