North Central Area Vocational Cooperative 21-22

Application Deadline: April 23, 2021

Full Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Student's Phone

Area Code Phone Number

Birth Date *

Month Day Year

GENDER *

FEMALE MALE

Student's Home School *

STN (Student Test Number) *

Grade Level 2021-2022 School Year *

GRADE 11 GRADE 12

Social Security Number (Preferred)

Student's School Email Address *

Parent/Guardian Name *

Parent/Guardian Home Number

Area Code Phone Number

Parent/Guardian Cell Number

Area Code Phone Number

Parent/Guardian Work Number

Area Code Phone Number

Parent/Guardian Email Address

Emergency Phone (if different from above)

Area Code Phone Number

Indicate Career and Technical Education preference(s) by choosing one class from the 1st Choice Drop Down and one class from the 2nd Choice Drop Down. (Please note that classes are listed as AM &/or PM. You will need to contact the conducting school for specific class times. Please be aware that some classes operate on Central Time and some are on Eastern Time.)

Please be aware that applying to a CTE program, does not guarentee admission into that program. Program directors, guidance councelors and instructors review all of the following information prior to students being admitted into programs. Applications are reviewed, recommendations are read and taken into consideration and transcripts are reviewed. Some programs require pretesting.

1st Choice *

2nd Choice

NOTE: There may be additional fees which are the responsibility of the students for some of the programs. Fees may include items such as: protective clothing, uniforms, lab fees, supplies, certification or testing fees, and purchase or rental of textbooks and workbooks. The guidance counselors should have a list of estimated fees for those programs.

Why do you wish to be in this program? *

CONDITIONS of ENROLLMENT:

A. Students accepted and officially enrolled in a Career and Technical Education program agree to remain in the program for at least one semester and complete the required subjects for that program.

B. The purpose of secondary CTE is to prepare students for post secondary education leading to employment and/or entry into the work force.

C. Work based experience is an integral part of career and technical education. CTE teachers may place a student in an internship within his/her career and technical area providing the student so desires and meets the necessary criteria. The school does not guarantee employment for any student enrolled in a CTE program.

D. Students in CTE programs may receive a Career and Technical Certificate. Criteria for this award are based on achievement, citizenship, and attendance. The program instructor will provide information regarding the selection process.

E. CTE laboratories are furnished with equipment and machinery similar to that used by workers in business and industry. Improper use of this equipment and machinery may cause injury. The school has established rules for safe procedures and students are informed of these rules. Students approved for enrollment in CTE classes agree to observe and practice these safety precautions.

F. NCAVC Does NOT carry accident insurance for CTE program participants.

Your electronic signature is a binding agreement that you accept the Conditions of Enrollment and the terms of conducts and attendance as determined by the CTE host school.

Student's Signature *

Today's Date

Month Day Year

Your electronic signature is a binding agreement that you (parent/guardian) give permission for the above named student to enroll in the Career and Technical Education program indicated above and that you understand and agree to the Conditions of Enrollment. The CTE cooperative requires a physical signature on file at your students' guidance office giving your permission for your student to enroll in these CTE courses and for your student to drive or ride with another student to their CTE class.

NCAVC Does NOT carry accident insurance for CTE program participants.

I/We are also committed to his/her regular attendance, and we will be responsible for providing or securing transportation to and from the program and for any fees which may apply to the program.

I/We understand that he/she is required to follow the host school calendar for classes even if that calendar is different from our school calendar.

Parent's/Guardian's Signature *

Today's Date

Month Day Year

Enter the message as it's shown *

After entering your code word above, please click the submit button below.

Only Click Submit ONE Time Please!

If you have changes that need made, please contact your counselor.

North Central Area Vocational Cooperative Program Application Form 2021-2022

CONDITIONS of ENROLLMENT: