Student Enrollment Application You need to enroll into CTE/ROP Covered with Insurance Use a pencil Treat as an application Write clearly Bubble correctly This will create you certificate at the end of the year
Dec 25, 2015
Student Enrollment ApplicationYou need to enroll into CTE/ROP
Covered with Insurance Use a pencil Treat as an applicationWrite clearly Bubble correctly This will create you certificate at the end of
the year
Today’s date
Bubble-in today's date
Site CodeC I T
Write and
Bubble-in name
Write and bubble -in last name
Write in and bubble-in telephone number with area code
Write in and bubble-in emergency/cell number with area code
Date of birth (01/07/10)
Economic status
Learning needs
Do you have any physical disabilities
Are you married
Do you work
Do you or your parents receive assistance
If you don’t fine your race here and you were born in the United State, bubble-in white.
Then if you are or are not Hispanic also bubble in here.
You may sign in pencil