Chippewa Valley Technical College

High School Academy Application

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Earn College Credit in High School

At a time when college costs are rising, parents and students are looking for ways to reduce expenses and time spent in college. Take a college course while you're still in high school to save time and money.

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Student Information

Legal First Name

Preferred First Name

Legal Last Name

Middle Name

Confirm Email

Please enter your non-school email address if you have one.

Phone

Home Mailing Address

City

County & Municipality

State

Zip

Birth Date

Gender Assigned at Birth

Male

Female

Prefer Not to Disclose

US Citizen

Yes

High School Information

High School

Graduation Date

Post-High School Academic Plan

Do you have a medical condition or disability that impacts or creates barriers in your educational environment?

Yes

(Select "Yes" if you have an IEP or 504 Plan)

Academy Information

Academic Term

Academy Name

(Ex: IT - Software Development Specialist)

Academy Location

(Ex: CVTC Energy Education Center)

Clinical Location / Days

(Applicable for most healthcare academies)

Have you already completed any course within this academy?

Academy T-Shirt Size

Questions/Comments

Ethnicity Information (Optional)

The following questions are confidential. Your responses will help CVTC evaluate recruitment and retention practices and will not affect admission to the College. Please respond to all questions.

Are you Latino or Hispanic?

Yes

That is, a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Please select the racial group(s) which apply to you

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

Veteran Status (Optional)

Are you a Veteran, Eligible Spouse, or Child of a Veteran?

Yes

Student Signature

Type your full name to act as your digital signature.

Application Date

College Day Attendance

I agree to attend the High School Academy College Day prior to the start of my academy.

More information will be sent in the weeks before the start of your academy.

We will never share or sell your information outside of CVTC. We may, on occasion, contact you regarding relevant services, events, and materials. You may opt out at any time. View our privacy policy to understand how we collect and use your information.

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