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2672128-655955CAREER & TECHNICAL EDUCATION BADGER PROGRAMSTUDENT APPLICATION FOR ADMITTANCEName: _________________________________________Date:___________________________Your career objective: __________________________________________________________________Age: _____ E-mail address: ______________________________________________________________Address: ________________________________________________________________________________________________________________________________________________________________Telephone Number __________________________________ Grade Level ______________________Do you have a driver’s license? ________________ Do you have access to a car? __________________Parent’ or Guardian’s Name: ____________________________________________________________Parent’ or Guardian’s Phone Number:_____________________________________________________Badger Courses offer opportunities for a student to combine attending high school classes during the school day with on the job training in a Technical Career field.Some Badger programs require a Social Security number to complete. See the school counselor for more information. Part of the application process does require an interview to be conducted by the badger teacher from program you are applying to. The counseling department will let you know when the date and time will be for the interview. Select the Badger program you are interested in (check one) 1st Choice___ Cosmetology___ HVAC___ Building Trades___ Nurse Aide___ Automotive Technology___ Welding ___ Computer Systems TechnologyIf you are not accepted into the Badger Program that is your first choice, what program would be your 2nd choice? __________________________________________________________________________Number of days for ISS so far this school year: ______________________________________________ Number of days for OSS so far this school year: _____________________________________________Number of absences so far this school year: ______ Number of tardies so far this school year: _______Diploma working towards: ______________________________________________________________Have you ever worked full time? _________________________ Part time? _______________________If yes, where? ________________________________________________________________________Type of job(s): ________________________________________________________________________Are you currently employed? ________ If yes, where? _______________________________________What are your plans after high school? ________________________________________________________________________________________________________________________________________Which specific career or career path are you interested in pursuing? ________________________________________________________________________________________________________________List the CTE courses you have completed: ____________________________________________________________________________________________________________________________________List the CTE Certifications you have completed: _______________________________________________________________________________________________________________________________List the core academic courses you plan to take in high school: ___________________________________________________________________________________________________________________List your extracurricular activities: __________________________________________________________________________________________________________________________________________TO THE STUDENTCareer and Technical Education (CTE) Badger programs use authentic methods of instruction to provide opportunities to be certified and on the job ready after high school. When you participate in a Badger Program, you affirm that you are sincerely interested in making your best effort to participate fully. If you accept this responsibility, please sign in the space provided.________________________________________________________________ DateStudent SignatureTO THE PARENT OR GUARDIANDo you consent to your daughter or son entering a career and technical education Badger Program that uses an authentic learning method of instruction, and do you agree to cooperate with the school and the training station in making the Badger Program and education of the greatest possible benefit to your daughter or son? If so, please indicate your support and approval with your signature in the space provided.__________________________________________________________________DateParent or Guardian Signature ................
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