Chariho Regional School District
Serving the Communities of Charlestown, Richmond, and Hopkinton in Southern Rhode Island
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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:
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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Year
1990
1991
1992
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1994
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1998
1999
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2002
2003
2004
2005
2006
2007
2008
2009
2010
Telephone:
*
Mailing Address:
*
E-Mail Address:
First Choice Program:
*
select...
Advertising and Design, and Digital Printing
Automotive and Diesel Technology
Construction Technology
Computer Technology and Game Design
Cosmetology
Criminal Justice
Culinary Arts
Drafting and Design
Electrical Technology and Renewable Energy Sources
Health Careers
Hospitality and Event Planning
HVAC&R (Heating, Ventilation, Air Conditioning, and Refrigeration)
Marine Technology
Second Choice Program:
*
select...
Advertising and Design, and Digital Printing
Automotive and Diesel Technology
Construction Technology
Computer Technology and Game Design
Cosmetology
Criminal Justice
Culinary Arts
Drafting and Design
Electrical Technology and Renewable Energy Sources
Health Careers
Hospitality and Event Planning
HVAC&R (Heating, Ventilation, Air Conditioning, and Refrigeration)
Marine Technology
Third Choice Program:
*
select...
Advertising and Design, and Digital Printing
Automotive and Diesel Technology
Construction Technology
Computer Technology and Game Design
Cosmetology
Criminal Justice
Culinary Arts
Drafting and Design
Electrical Technology and Renewable Energy Sources
Health Careers
Hospitality and Event Planning
HVAC&R (Heating, Ventilation, Air Conditioning, and Refrigeration)
Marine Technology
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: