2024-2025 First Year High School Student Application

2024-2025 First Year High School Student Application

This application is for students who are NOT CURRENTLY enrolled in a SoMoTech program. This information will be sent to your counselor and principal for approval.
Student Legal Name*

First NameMiddle NameLast NameSuffix
Student Current Grade Level:*

1110
Anticipated Year of Graduation*
What high school do you attend?*
FIRST CHOICE PROGRAM-What SoMoTech program/class are you wanting to attend?*
Please note that any health science program (including Health Science II/CNA and Pharmacy Tech) requires student drug testing. Also, a separate application is available for the new high school practical nursing program.
ALTERNATE PROGRAM-If your first choice is not available, what other program would you like to attend?*
Please note that any health science program (including Health Science II/CNA and Pharmacy Tech) requires student drug testing.
Statement of Purpose: Briefly explain why you wish to enroll in a program at SoMoTech.*
Use complete sentences and include what your plans are after graduation. It will not be graded for anything, but is just a way for us to get to know you better.
Student Email Address*
example@example.com
Student Phone Number*
Please enter a valid phone number.
Student Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student County *
(Ex. Howell, Oregon, Ozark, Shannon, Texas, etc.)
Student Date of Birth*

MonthDayYear
Date
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Student Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: