Admissions Application Student Name* First Middle Initial Last Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Student Phone*Please enter your primary home or cell phone if applicable.Date of Birth* Gender*MaleFemaleStudent Email Address* Enter Email Confirm Email Race*Please check all that apply. American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Ethnicity*Please choose one.Hispanic or LatinoNon-Hispanic or LatinoParent/Guardian Name* First Last Relationship*MotherFatherGrandparentGuardianOtherParent Phone*Please enter your work or cell phone.Parent Email*Enter your primary email address. Current School*Please select your current home school.Hazelwood CentralHazelwood EastHazelwood WestHazelwood Success AcademyJenningsMcCluerMcCluer NorthMcCluer South-BerkleyNormandyNorthviewPattonvilleRitenourRiverview GardensUniversity CityPrivate SchoolHome-SchooledOtherSchool or District Name*Based on your selection above, if you were to attend a public school based off your home address, which school would you attend.Start Date*The do you plan on starting at Tech?August (2018)Are you currently a student at North Tech?Currently attend North Tech half or full day. YesNoProgram*Auto BodyAutomotive TechCarpentryCISCO NetworkingConstruction InnovationsConstruction TradesCosmetologyCulinary ArtsDiesel TechnologyEarly Childhood EducationElectrical TradesEmergency Medical TechnicianFashion DesignFirefightingGraphic DesignHealth SciencesHealth Sciences Advanced StudiesHVACHospitality and Hotel ManagementLaw EnforcementPrecision MachiningSophomore Career ExplorationVeterinary AssistantWeb & Computer ProgrammingWeldingGrade*Your grade level when you start at Tech.101112Full Day or Half Day*Do you plan to attend full day or half day? Full day students will also take academic courses at North Tech.Full DayHalf DayUnsureParent Approval*We approve application to North Tech High School. We also give permission for release of transcripts and other pertinent data relating to this application. We understand applicants must meet attendance and conduct standards. Approve EmailThis field is for validation purposes and should be left unchanged.