ENROLLMENT APPLICATION

Class #
Spring 2026 - Course number: 32704
ENROLLMENT APPLICATION
Course Enrollment
Student First Name
Middle
Student Last Name
SMHS ID #:
Grade
Date of Birth

MonthDayYear
Address

Home Mailing Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Zip
Telephone
Contact number you can be reached atFormat: (000) 000-0000.
Palomar I.D. Number
SMUSD Email
example@example.com
E-mail Address (one you check REGULARLY)
Please use an email address you check REGULARLY - Email address will be used for all Work Experience correspondence.
Parent/Guardian Email address
example@example.com
Employer's Company Name
Where do you work?
Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Street Address (Actual Location)
City/ State
Zip
Your Employment Type:
Your Position Type:
Supervisor's Name
Supervisor's Title
Supervisor's Direct phone #
Supervisor's Email address
Employment / Internship Information Approximate hours per week you work
Your Position Title
How long have you worked here
What are your plans after High School?
College Major
Which Branch?
What type of apprenticeship?
Occupational Goal: What career field are you thinking of going into?
Job Related Class (if applicable)
Are you taking any classes related to this career field?
Student Acknowledgment of required Employment/ Internship Hours: For Each unit of enrollment, the student MUST complete a minimum of 54 hours (total 162) to receive a passing grade.
Student Signature (Hand written or digital signature accepted)
Date

MonthDayYear
Date
Instructor Name (Print)
Date

MonthDayYear
Date
Should be Empty: