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* 1. What is student's last name?

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* 2. What is student's first name?

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* 3. What is student's Date of Birth? (month/day/year)

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* 4. What grade is student in?

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* 5. Please provide the best email address to contact you

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* 6. Please provide the best phone number to contact you

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* 7. In which Pathway do you choose to enroll?

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* 8. Which certification do you want to pursue?

Welcome to the Career and Technical Education (CTE) Program!  A counselor will contact you regarding course enrollment.  
If you have any questions you can contact me at jhymas@utahvirtual.org

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