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Instructions:
Please enter student information.
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Student Information
 
As appears on Birth Certificate
As appears on Birth Certificate
As appears on Birth Certificate
 
 
 
Program of Study and School District
 
Enrollment in program and academic course offerings is dictated by maximum class size limits and any program specific requirements as listed below:

* These programs - Cosmetology, Hospitality Services, and Culinary Arts require 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.

*** These programs have specific admission requirements. Please refer to the program brochures available on the TCTC Website. (Students applying for Biotechnology, Cosmetology, Dental Assisting, Exercise Science and Health Science must have a score of proficient or better on the science end-of-course exam.)

Parent/Guardian/Custody Information
Please Check All That Apply:
(Check at least one)
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.
 
Phone Type Phone Number
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to delete select checkbox for row and click on -
 
 
Please Check All that Apply
Please ONLY choose this if this contact is Parent or Legal Guardian
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
 
 
Phone Type Phone Number
To add row click on +
to delete select checkbox for row and click on -
 
 
Please Check All that Apply
Please ONLY choose this if this contact is Parent or Legal Guardian
 
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.
<< 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