Send
New Student Enrollment
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Instructions:
Please enter student information.
All fields in red require input.
Click on "Send" button when complete.
Student Information
For what school year are you applying?
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2022/2023
Current Grade
-
9
10
11
12
23
Student Legal Last Name
As appears on Birth Certificate
Student Legal First Name
As appears on Birth Certificate
Student Legal Middle Name
As appears on Birth Certificate
Address
Apartment Number
City
County of Residence
-
Trumbull
Other
State
OHIO
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FEDERATED STATES OF MICRONESIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
NORTHERN MARIANA ISLANDS
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
ZIP
Gender
-
MALE
FEMALE
Birth Date (MM/DD/YYYY)
Birth City
Was Student born
outside of the US?
-
NO
YES
What is the Student`s
country of birth?
Date Student first enrolled in a
US School. (MM/DD/YYYY)
Definition of US Schools (defined as each of the 50 States, the District of Columbia,
the Commonwealth of Puerto Rico, and each of the outlying areas including the
United States Virgin Islands, Guam, American Samoa, and the Commonwealth
of the Northern Mariana Islands.)
U.S. Citizen
-
NO
YES
Nationality
Ethnic Background
Please Check All that Apply
*one selection is required.
A-Asian
B-Black or African American
P-Native Hawaiian or Other Pacific Islander
I-American Indian or Alaska Native
W-White
Is your child Hispanic/Latino?
-
N - No, the student is not Hispanic/Latino
Y - Yes, the student is Hispanic/Latino
Student Phone
Program of Study and School District
First Choice: Please select the Program that you wish to study:
-
Air Force Jr. ROTC
Auto Collision Technology
Auto Services Technology
Biotechnology ***
Career Exploration **
Construction Technology
Cosmetology ***
Culinary Arts Academy
Dental Assisting ***
Education and Family Services
Electrical Technology
Engineering
Equestrian Studies
Exercise Science & Sports Medicine ***
Fire & EMS Academy
Heating, Ventilation & Air Conditioning (HVAC)
Interactive Multimedia
Job Training **
Landscape Design & Technology
Power Equipment Mechanics
Pre-Nursing: Pharmacy Tech ***
Pre-Nursing: Phlebotomy Tech ***
Veterinary Science
Visual Design and Imaging
Web Design and Application Development
Welding
Second Choice: Please select the Program that you wish to study:
-
Air Force Jr. ROTC
Auto Collision Technology
Auto Services Technology
Biotechnology ***
Career Exploration **
Construction Technology
Cosmetology ***
Culinary Arts Academy
Dental Assisting ***
Education and Family Services
Electrical Technology
Engineering
Equestrian Studies
Exercise Science & Sports Medicine ***
Fire & EMS Academy
Heating, Ventilation & Air Conditioning (HVAC)
Interactive Multimedia
Job Training **
Landscape Design & Technology
Power Equipment Mechanics
Pre-Nursing: Pharmacy Tech ***
Pre-Nursing: Phlebotomy Tech ***
Veterinary Science
Visual Design and Imaging
Web Design and Application Development
Welding
Enrollment in program and academic course offerings is dictated by maximum class size limits and any program specific requirements as listed below:
* Cosmetology, requires full-time attendance at TCTC. All other programs may be half-day if the home high school permits that option.
** These programs are offered with the permission of the work study coordinator or home high school supervisor.
*** A score of proficient or better on the science end-of-course exam is recommended for students applying to Biotechnology, Cosmetology, Dental Assisting, Exercise Science & Sports Medicine, Pre-Nursing: Pharmacy Tech, and Pre-Nursing: Phlebotomy Tech.
Current School
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Current TCTC Student
Bloomfield High School
Bristol High School
Brookfield High School
Buckeye Online School
Champion High School
Girard Sr High School
Howland High School
Hubbard High School
John F Kennedy
Joseph Badger High School
LaBrae High School
Lakeview High School
Liberty High School
Lordstown High School
Maplewood High School
Mathews High School
McDonald High School
Mineral Ridge High School
Newton Falls High School
Niles McKinley High School
Ohio Virtual Academy
Rivergate
Southington High School
Summit Academy
TRECA
Victory Christian
Warren G Harding High
Other
Current School - Other
Has student ever attended programming at TCTC besides the 10th grade tours and career days, such as We Are IT, Summer Career Exploration Camp, or after-school AFJROTC program?
-
NO
YES
What programming did student attend?
District of Residence
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Austintown Local SD
Bloomfield-Mespo Local SD
Boardman Local SD
Bristol Local SD
Brookfield Local SD
Campbell City SD
Canfield Local SD
Cardinal Local SD
Champion Local SD
Crestwood Local SD
Girard City SD
Grand Valley Local SD
Howland Local SD
Hubbard Ex Vill SD
Jackson-Milton Local SD
James A Garfield Local SD
John F Kennedy
Joseph Badger Local SD
LaBrae Local SD
Lakeview Local SD
Liberty Local SD
Lordstown Local SD
Lowellville Local SD
Maplewood Local SD
Mathews Local SD
McDonald Local SD
Newton Falls Ex Vill SD
Niles City SD
Pymatuning Valley Local SD
Ravenna City SD
Southeast Local SD
Southington Local SD
Summit Academy Warren
Victory Christian
Warren City SD
Weathersfield Local SD
Western Reserve Local SD
Windham Ex Vill SD
Youngstown Christian
Youngstown City SD
Youngstown Diocese
Other
District of Residence - Other
Parent/Guardian/Custody Information
Please Check All That Apply:
(Check at least one)
Parents Single
Parents Married
Parents Divorced
Shared Parenting
Parents Separated
Court Placement
Primary Contact / Legal Guardian
Primary contact is the person (or persons) responsible for the regular care of the student and to whom the school may send school-related correspondence. The primary contact is also the first point of contact for the school in the unlikely event that the child is injured or becomes ill while at school. In general, the Primary Contact refers to the parent(s) or guardian(s) of the student.
Last Name
First Name
Relationship to Student
-
PARENTS
MOTHER & STEP-FATHER
FATHER & STEP-MOTHER
FOSTER PARENT/S
STEP-PARENT/S
MOTHER
FATHER
GRANDPARENT
COURT/CSB CONTACT
GUARDIAN
EMERGENCY CONT.
RELATIVE
OTHER
Marital Status of Parents
-
MARRIED
SEPARATED
DIVORCED
REMARRIED
WIDOWED
NEVER MARRIED
Same as Student Address
Address
Address2
City
State
-
OHIO
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FEDERATED STATES OF MICRONESIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
NORTHERN MARIANA ISLANDS
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
ZIP
Phone Number(s)
Phone Type
Phone Number
-
-
-
Home number
Cell number
Work number
Father cell number
Father work number
Mother cell number
Mother work number
Pager number
To add row click on + to delete select checkbox for row and click on -
E-mail Address
I consent to receive TCTC communications and newsletters via email. For further information, please consult our privacy policy.
Privacy Policy
Type of Contact
Please Check All that Apply
Legal Guardian
Please ONLY choose this if this contact is Parent or Legal Guardian
Medical Auth Contact
Available at Work
Living with Student
Permission to be copied on correspondence
If your parents are divorced/separated,
are there any court documents limiting contact with you?
-
NO
YES
If YES, a copy of these documents must be provided to the TCTC Guidance Office in the fall.
Additional Contact (1)
Additional person whom we may contact in an emergency situation
Add Additional Contact (1)
Last Name
First Name
Relationship to Student
-
PARENTS
MOTHER & STEP-FATHER
FATHER & STEP-MOTHER
FOSTER PARENT/S
STEP-PARENT/S
MOTHER
FATHER
GRANDPARENT
COURT/CSB CONTACT
GUARDIAN
EMERGENCY CONT.
RELATIVE
OTHER
Same as Student Address
Address
Address2
City
State
-
OHIO
ALABAMA
ALASKA
AMERICAN SAMOA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FEDERATED STATES OF MICRONESIA
FLORIDA
GEORGIA
GUAM
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARSHALL ISLANDS
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
NORTHERN MARIANA ISLANDS
OKLAHOMA
OREGON
PALAU
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGIN ISLANDS
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
ZIP
Phone Number(s)
Phone Type
Phone Number
-
-
-
Home number
Cell number
Work number
Father cell number
Father work number
Mother cell number
Mother work number
Pager number
To add row click on + to delete select checkbox for row and click on -
E-mail Address
Type of Contact
Please Check All that Apply
Legal Guardian
Please ONLY choose this if this contact is Parent or Legal Guardian
Medical Auth Contact
Available at Work
Living with Student
Willing to Volunteer
Permission to be copied on correspondence
Delete this Contact (1)
Signature
I understand the program(s) of study for which my student has applied. I give permission for the student`s home school to send my student`s grades, transcripts and attendance information to the TCTC Guidance Office to be used in evaluating this application.
I also authorize TCTC to access scores on state end-of-course exams.
I understand that when I accept the offer of admission, my student and I agree to abide by the TCTC admission policies and procedures and I also agree to spend the first two weeks of school in the fall of the upcoming school year at TCTC.
Confirm
-
I acknowledge that I have read and understand the policy
I understand that I need to read the documents on next page.
<< Please check here
I hereby certify that the statements and information in this application form are true and correct to the best of my knowledge
Please enter your full name