2020-2021 Career Start Application

Career Start Application 2020-2021

Note: Asterisks indicate required field

Application will be accepted beginning March 4, 2020 at 2:00 pm.

Please do not submit applications prior to 2:00 pm, any submissions prior will be deleted

All programs are offered contingent upon student interest with enrollment, space availability, and resources.

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* 1. PPCC Student ID #: (e.g., S01234567)

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* 2. Student First Name:

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* 3. Student Last Name:

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* 4. Student E-mail:

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* 5. Primary Phone Number: (e.g., (719) 502-2000)

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* 6. Secondary Phone Number: (e.g., (719) 502-2000)

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* 7. Date of Birth:

Date of Birth:

Date

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* 8. Mailing Address:

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* 9. City:

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* 10. State:

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* 11. Zip Code: (e.g., 80906)

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* 12. High School:

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* 13. Expected Graduation Date:

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* 14. Parent/Guardian First Name:

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* 15. Parent/Guardian Last Name:

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* 16. Parent/Guardian Primary Phone Number: (e.g., (719) 502-2000)

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* 17. Parent/Guardian Work or Alternate Phone Number: (e.g., (719) 502-2000)

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* 18. Program of Study -- First Choice:

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* 19. Program of Study -- Second Choice:

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* 20. Attention Males: With few exceptions, all male United States citizens and male aliens residing in the United States and its territories must register for Selective Service within 30 days of their 18th birthday.

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* 21. Accessibility Services at PPCC is a team of experienced and professional specialists and staff with knowledge of the ADA, Section 504, and FERPA policies. Accomodations may include alternate format textbooks and materials, alternative testing arrangements, sign language, and much more. They work with students and with faculty to facilitate accommodations and an accessible education environment.

Yes, I'd like to receive more information.

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* 22. All Applicants: All courses are from 9:00 - 11:40 am, Monday - Friday Construction and Welding II is taught at PPCC Springs Fabrication satellite location. Please check with your school regarding transportation.
By entering my initials below, I hereby affirm that all information supplied in this information and application for admission is complete and accurate. In addition, I understand that the Career Start program takes place on a college campus and I will be required to act appropriately and professionally at all times. I also understand that the Career Start program requires me to make a year-long commitment barring circumstance beyond my control.