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* 1. Student First Name

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* 2. Student Last Name

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* 3. Name of Current School You Attend

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* 4. Current Grade in School

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* 5. CAVIT Program Choice

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* 6. Do you receive special education services (IEP or 504 Plan)?

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* 7. Student Email - Use this format - xxxxx@xxxx.xxx

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* 8. Mailing Address - Include Apartment # - Format Example: 453 W. James Street

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* 9. City

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* 10. Zip Code

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* 11. Student Cell Phone Number - Please use this format (XXX) XXX-XXXX

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* 12. Parent Cell Phone or Home Phone Number - Please use this format (XXX) XXX-XXXX

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* 13. CAVIT is looking to add a new program in 2-3 years. Please rank your interest level for the potential programs below.

  Strongly Interested Somewhat Interested Not Interested
Health Information Technology - Students organize and manage patient medical data in both paper and electronic systems.
Heating, Ventilation and Air Conditioning - Students repair, install, service, and maintain heating and air conditioning systems.
Heavy Equipment Operations - Students operate and maintain a variety of heavy equipment such as tractors, graders, and scrapers.
Pharmacy Technician - Students work alongside pharmacists delivering client services in a clinical, medical, or retail setting.
Precision Machining - Students operate machines used in manufacturing items, plan production and implement quality control measures.
Residential Electrician - Students install and maintain electrical systems in homes, businesses and factories.
Welding Technology - Students create and assemble metal structures and equipment through the use of welders, cutters, shapers and measuring tools.

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