PVMHS CTE Application

This application form must be completed and submitted to the PVMHS CTE Director by Friday,
January 7, 2022. In addition to this application form, the applicant’s current guidance counselor will
submit the criteria used for admission that includes the applicant’s grades, attendance records,
discipline/conduct record and recommendation form/letters.

CTE Application

Applicant Information

Applicant First Name *

Applicant Middle Name

Applicant Last Name *

Home Address *

City/Town *

State *

Zip Code *

Home Phone # *

Current School *

Guidance Counselor's Name *

Current Grade *

Applying for Grade *

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Middle Name

Parent/Guardian Last Name *

Home Address *

City/Town *

State *

Zip Code *

Home Phone *

Work Phone

Signature Section

The statements and the information furnished by the undersigned in this application form are true and complete.

The undersigned applicant's parent(s)/guardian(s) give permission for representatives of the sending school to release the applicants grades, attendance, and conduct/discipline to the PVMHS CTE Admission Office for the purpose of admission

Our signatures certify that we have read and agree with the above statements.

Signature of Student *

Signature of Parent/Guardian *

Voluntary Information Section

The information requested in this section is not required for admission. Submission of the information is entirely voluntary. Information submitted voluntarily by the applicant will not affect the applicant’s admission to the school. The information, if supplied, will be used for monitoring equal educational opportunity in the school district. In addition, note that applicants with disabilities may voluntarily self-identify for the purpose of requesting reasonable accommodations during the entire application and admission process. Applicants who are English language learners or limited English proficient may voluntarily self-identify for the purpose of receiving interpretive services during the entire application and admission process.

Gender

Race

Person with a disability?

Yes

If yes please describe any needs or accommodations.

Person who is an English Language Learner?

Yes

If yes please describe any needs or accommodations.