2023-2024 CHS Middle College Application
Includes the following programs: Welding, Utility Line Worker, Building Construction, and University Transfer General Education credits
Name
*
First Name
Middle Name
Last Name
Suffix
Email
*
example@example.com
Address
*
Street Address
Mailing Address if different from Street Address
City
State / Province
Postal / Zip Code
Student's Cell Phone Number
*
-
Area Code
Phone Number
Current Grade Level
*
10th
11th
Country of Birth
*
Have you been a legal South Carolina resident for more than one year?
yes
no
Which Middle College program are you applying for?
*
MC Univer Transfer
Build Construction
Utility Line Worker
Welding
Father's Name
First Name
Last Name
Father's Email Address
example@example.com
Father's Cell Phone Number
-
Area Code
Phone Number
Father's Employer and Occupation
Mother's Name
First Name
Last Name
Mother's Email Address
example@example.com
Mother's Cell Phone Number
-
Area Code
Phone Number
Mother's Employer and Occupation
Emergency/Medical Information
*
Please list any medical conditions, medications or special accommodations.
Describe your reasons for wanting to be a part of the Middle College Program
*
What goals do you hope to achieve while enrolled in this program?
*
What clubs and/or organizations are you involved in at CHS and in our community? Do you work a part-time job? If so, where do you work?
By submitting this application, I attest that all of the information is true and I understand the level of commitment I will be making if accepted into the CHS Middle College Program. Please electronically using your mouse.
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