Career Online High School Application

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* 1. Participant Information

Full Name

Date of Birth

Age

Gender

Tribal Census ID

Street Address

City

State

Zip Code

Phone Number

Email Address

Last School Attended

School District

Grade Level

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* 2. Primary Emergency Contact Information

Full Name

Phone Number

Email Address

Relation to Participant

Street Address

City

State

Zip Code

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* 3. Secondary Emergency Contact Information

Full Name

Phone Number

Email Address

Relation to Participant

Street Address

City

State

Zip Code

Career Online High School Application

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* 1. Participant Information

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* 2. Primary Emergency Contact Information

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* 3. Secondary Emergency Contact Information

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* 4. Why are you seeking an education through Career Online High School? (Two to three sentences.)

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* 5. Have you been enrolled into a credit recovery program or other online high school before? If so, what prevented you from completing it?

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* 6. What's your learning style? If unsure, take this quiz: http://www.educationplanner.org/students/self-assessments/learning-styles-quiz.shtml

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* 7. How would Career Online High School suit your educational needs? (Two to three sentences.)

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* 8. How will you prioritize Career Online High School in your daily routine? (Two to three sentences.)