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* 1. What is your Unique Concentrator Number (Found in your Email or Letter)?

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* 2. What is your last name?

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* 3. What is your first name?

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* 4. If you did not graduate with a high school diploma, have you earned a General Education Development (GED) diploma?

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* 5. Have or were you in an apprenticeship program (training that is done "on the job" while working for an employer and also taking union or non-union courses)?

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* 6. If "Yes", what apprenticeship program?

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* 7. If "Yes", was the apprenticeship program directly or closely related to your high school career-technical program?

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* 8. Are or were you in the military?

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* 9. If "Yes", which type of duty?

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* 10. If "Yes", which branch?

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* 11. If "Yes", was your military work directly or closely related to your high school career-technical program?

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* 12. Are or were you enrolled in college or other advanced training program?

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* 13. If "Yes", please answer below.....?

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* 14. If "Yes", was your college/advanced training area of study directly or closely related to your high school career-technical program?

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* 15. Are or were you employed?

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* 16. If "Yes", was your job directly or closely related to your high school career-technical program?

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* 17. Since leaving the JVS, have you taken a state certification, licensing test or an industry certification test?

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* 18. If "Yes", what test?

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* 19. If you took a test, did you PASS the test?

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* 20. Have you obtained a state certificate or license or an industry certificate in the AGRICULTURE/ENVIRONMENTAL SYSTEMS field?  If so, please check below:

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* 21. Have you obtained a state certificate or license or an industry certificate in the ARTS & COMMUNICATIONS field?  If so, please check below:

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* 22. Have you obtained a state certificate or license or an industry certificate in the BUSINESS & FINANCE field?  If so, please check below:

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* 23. Have you obtained a state certificate or license or an industry certificate in the CONSTRUCTION field?  If so, please check below:

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* 24. Have you obtained a state certificate or license or an industry certificate in the EDUCATION & TRAINING field?  If so, please check below:

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* 25. Have you obtained a state certificate or license or an industry certificate in the ENGINEERING field?  If so, please check below:

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* 26. Have you obtained a state certificate or license or an industry certificate in the ENGINEERING field?  If so, please check below:

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* 27. Have you obtained a state certificate or license or an industry certificate in the HOSPITALITY & TOURISM field?  If so, please check below:

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* 28. Have you obtained a state certificate or license or an industry certificate in the HUMAN SERVICES field?  If so, please check below:

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* 29. Have you obtained a state certificate or license or an industry certificate in the INFORMATION TECHNOLOGY field?  If so, please check below:

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* 30. Have you obtained a state certificate or license or an industry certificate in the LAW & PUBLIC SAFETY field?  If so, please check below:

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* 31. Have you obtained a state certificate or license or an industry certificate in the MANUFACTURING field?  If so, please check below:

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* 32. Have you obtained a state certificate or license or an industry certificate in the TRANSPORTATION field?  If so, please check below:

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