New Visions and Tech Prep Application
Directions:
Please complete the following application entirely. Any incomplete applications, including counselor document submissions, will not be considered.
Please select the program you want to apply for from the drop down bar below.
*
Please Select
Connections: Health Related Careers
Diesel Technology (Tech Prep)
Education Pathways Academy
Legal Academy
Plant Science
Zoo, Wildlife, and Conservation Careers
Personal Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Phone Number
*
Please enter a valid phone number.
Date of Birth
*
/
Month
/
Day
Year
Date
Student Personal Email
*
example@example.com
Student School Email
*
example@example.com
Parent/Guardian Email
*
example@example.com
Home School District
*
School Counselor
*
First Name
Last Name
School Counselor Phone Number
*
Please enter a valid phone number.
School Counselor Email
*
example@example.com
Short Answer Questions
Share any experience, both paid and/or volunteer, related to this program or career field.
List any awards or achievements you have received.
Uploads
Please upload the following:
Letter of Recommendation: High School Academic Teacher, Counselor, or High School Administrator
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Letter of Recommendation: Personal Reference
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Choose a file
Personal reference letters cannot be written by a family member.
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of
Statement of Career Interest
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Additional Requirements:
Your school counselor will need to upload your transcripts and your report cards. Counselors can upload these documents on your behalf by going to www.e1b.org/newvisions and clicking the "Counselor Submissions" button. Applications that do not have transcripts and report cards submitted by the school counselor are incomplete and will not be considered.
I understand that it is my responsibility, as the applicant, to communicate with my school counselor to have my transcripts submitted on my behalf.
*
I understand.
Please Note:
To meet the objectives of the New Visions and Tech Prep programs, students are responsible for their own transportation to the facilities that host the program as well as internship sites. I, the undersigned, understand that students are responsible for their own transportation.
Student Name
*
First Name
Last Name
Student Signature
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Signature
*
Submit
Should be Empty: