Career Start Application - 2018-2019

Please fill out the Career Start Application

Note: Asterisks indicate required field

Application will be accepted beginning March 7, 2018 at 2:00pm

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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 

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* 8. Address:

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* 9. City:

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

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* 13. What year are you going to graduate?

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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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* 21. All Applicants: All courses are from 9:00 - 11:40 am, Monday - Friday (except ZOO II which is from 12:10 -3:40 pm Monday-Thursday). Construction is slated to be taught at a PPCC 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.

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