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Student Application
Student Name
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Student ID
Gender
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Date of Birth
(mm/dd/yyyy)
High School*
Highline
Tyee
Evergreen
Mount Rainier
PSSC
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Email Field
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Home Phone
Enter without hyphens: 2066313000 (do not include a '1' before the area code)
Cell Phone
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Home Address
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City
State
Zip
(ex. 06108 or 06108-0809)
Parent / Guardian Daytime Phone
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Work Site
Job Title
Describe your duties
Career Plans and Goals
Career Plans / Goals
Arts & Communication
Business & Marketing
Health and Human Services
Science & Agriculture
Technology & Engineering
Other
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Career Goal
Intended post-secondary training/education program
O.J.T
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2-year College
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Military / Volunteer Program
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Where do you plan to pursue your post-secondary training/education?
If undecided, please write "undecided"