Caldwell Applied Sciences Academy
2026-2027 Freshman Application
Student Name
*
First Name
Middle Name
Last Name
Applications are accepted through
December 19th, 2025
Only rising 9th grade students are eligible for acceptance
All materials will be reviewed and qualified students will be
contacted to schedule a personal interview in January 2026
Placement is
NOT
guaranteed
Interviewed
students
will be notified by email of their acceptance/non-acceptance by February 2026
Your Current School
*
Caldwell Online Academy
Collettsville
Gamewell Middle
Granite Falls Middle
Happy Valley
Hudson Middle
Kings Creek
William Lenoir Middle
Homeschool
Private School
Other
Your District High School
*
Hibriten
South Caldwell
West Caldwell
Other
If OTHER was chosen for the previous questions, please enter the name of the school you currently attend and your district high school:
Current School Name
District High School
Grade Level
Rising 9th
Age
*
Gender
Male
Female
N/A
Birth Date
*
Please select a month
January
February
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Month
Please select a day
1
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Day
Please select a year
2025
2024
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Year
Student E-mail
Please confirm the email address is CORRECT before submitting. This is the main source of communication during the application/interview process.
Student Cell Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Home Phone Number
-
Area Code
Phone Number
Do you receive mail at this address:
*
Yes
No
Primary Language Spoken In Home
English
Spanish
Other
Student lives with:
Both Parents
Mother
Father
Guardian
Family members living in the home:
Mother
Father
Brother(s)
Sister(s)
Other
Do you have any siblings who attend/attended CASA?
*
Yes
NO
Have you ever been convicted of a misdemeanor or felony?
*
Yes
No
Have you ever been suspended?
*
Yes
No
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Select Your Academy
To be filled out by the STUDENT
Academy of Health & Life Sciences
:
Activities include: dissections, constructing model body parts, investigating diseases, and experimenting with bacteria. The classes assist students in acquiring strong teamwork and communication skills while also developing organizational, critical thinking, and problem solving skills. This academy lends itself to students interested in careers in medicine, health care, and life sciences. Students will earn a high school diploma, potential for certificates from CCC&TI or nurse’s aide certification. Students will be able to complete pre-requisites toward any of the Health Sciences programs offered at CCC&TI as well as work to complete an associate of science degree.
Academy of Advanced Technologies
:
Students will develop skills in five areas of digital media by completing hands-on projects in graphic design, animation, audio production, video production and web design. Students will also have the opportunity to earn certifications in industry standard software, such as Adobe Photoshop, Adobe Illustrator, Adobe InDesign, Adobe Dreamweaver and Adobe Premiere Pro. In addition, students will take programming courses focusing on mobile app development. Projects will include developing mobile applications for Google’s Android OS and Apple’s iOS. This academy’s four year plan includes: a high school diploma, a digital media certificate and a mobile application development certificate from CCC&TI, and coursework for the associate degree in digital media and mobile applications development.
Academy of Engineering
:
Students will develop the skills needed in mechatronics engineering. Students will apply engineering concepts through designing, constructing and testing products. Coursework includes: robotics, electronics, machining, welding, 3D modeling, automation, hydraulics, programming and more. This academy’s four year plan includes: a high school diploma, along with satisfying coursework for an associate degree in mechatronics engineering.
Please select an Academy you are interested in:
*
Please Select
Academy of Health & Life Sciences
Academy of Advanced Technologies
Academy of Engineering
List three words that describe you:
*
Please explain in your own words why you want to attend CASA:
*
Please list the career field(s)that interest you:
*
Please explain in your own words why you would be a good candidate for acceptance at CASA:
*
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Parent/Guardian Information
To be filled out by Parent/Guardian
Mother/Female Guardian Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother/Female Guardian Cell Phone
-
Area Code
Phone Number
Mother/Female Guardian Work Phone
-
Area Code
Phone Number
Mother/Female Guardian Email
Please confirm the email address is CORRECT before submitting. This is the main source of communication during the application/interview process.
Mother/Female Guardian Home Phone
-
Area Code
Phone Number
Mother/Female Guardian Occupation:
Mother/Female Guardian Employer
Father/Male Guardian Name:
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you receive mail at this address:
Yes
No
Father/Male Guardian Home Phone
-
Area Code
Phone Number
Father/Male Guardian Work Phone
-
Area Code
Phone Number
Father/Male Guardian Cell Phone
-
Area Code
Phone Number
Father/Male Guardian Email
Please confirm the email address is CORRECT before submitting. This is the main source of communication during the application/interview process.
Father/Male Guardian occupation:
Father/Male Guardian Employer
Why is CASA a good fit for your student?
*
Describe how you will support your child's educational experience at CASA:
*
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Teacher Recommendations
Please make sure to enter and verify the CORRECT email address for the teachers chosen.
Please enter teacher's name for your 1st recommendation:
*
Please enter 1st recommendation teacher's email address:
*
example@example.com
Please enter teacher's name for your 2nd recommendation:
*
Please enter 2nd recommendation teacher's email address:
*
example@example.com
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Parent/Student Commitment Statement and Agreement
Parent Signature
*
Student Signature
*
Date
*
-
Month
-
Day
Year
Date
Date
*
-
Month
-
Day
Year
Date
Additional Comments
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Submit Application
Should be Empty: