2024-25 ACT Interest Form

Academy of Construction Technologies Pre-Apprenticeship Interest Form

Fill out the form carefully for registration
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
T-Shirt Size
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
Please don't use school email account
Mobile Number
High School Attending*
Course You Are Taking*
Instructor*
Instructor*
Current Grade Level*
Age *
Are you able, and do you want to work during the school year?

YesNoMaybe
Parent/Guardian's Name

First NameLast Name
Parent/Guardian's Email
example@example.com
Parent/Guardian's Phone Number
Please enter a valid phone number.
List the Construction Classes you have completed (9-12)
Course Grade Level Teacher
Course Grade Level Teacher

Academy of Construction Technologies Pre-Apprenticeship Interest Form