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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. Enrollment Status

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* 6. First Program Choice

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* 7. Second Program Choice Different from #6 Selection Above

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* 8. Select Preferred Method of Instruction for Next School Year

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

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* 10. Student Email Typed Again - Use this format - xxxxx@xxxx.xxx

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* 11. Parent Email - Use this format - xxxxx@xxxx.xxx

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* 12. Parent Email Typed Again - Use this format - xxxxx@xxxx.xxx

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

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* 14. City

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* 15. Zip Code

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* 16. Student Phone Number - Please use this format XXX.XXX.XXXX

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* 17. Parent or Guardian Phone Number - Please use this format XXX.XXX.XXXX

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* 18. T-Shirt Size

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* 19. Who Influenced You to Choose CAVIT?

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* 20. Rank the Importance of the Following Opportunities Available to CAVIT Students

  #1 Choice #2 Choice #3 Choice #4 Choice
Earning Free College Credit
Earning Training Certificate or License
Completing Work Experience
Gaining Leadership Experience

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