Career and Technical Center Online Application

Use this for to apply to the Chariho Career and Technical Center Programs

First Name: *

Middle Initial:

Last Name: *

Date of Birth: *

Telephone: *

Mailing Address: *

E-Mail Address:

First Choice Program: *

Second Choice Program: *

Third Choice Program: *

Entering Grade:

Present School:

City/Town:

Counselor's Name:

Counselor's Telephone:

If not in school, last school attended:

Date Exited:

Parent/Guardian Name:

Parent/Guardian Address:

Parent/Guardian Telephone: