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Butte County Career Technical EducationApplication for Enrollment

Application for Academy 2020-2021

Name Last First Middle Initial

Mailing Address

Apt. City State Zip

Email Address

Yes No If yes, when?What class?

Phone Message Phone

Have you applied for a CTEC class previously?

Have you ever taken an CTEC class? Yes No If yes, when?What class?

Education: Please list schools attended. Attach a separate sheet of paper if necessary.

Level of Education Name and Location Diploma or Degree

Area of Study or Relevant Course Work

Dates Attended

High School Diploma GED

Vocational Training

College/Other

DEADLINE: Open Enrollment

Are you 18 or older? Yes No

Culinary Academy Construction Academy

Manufacturing AcademyWelding Academy

Instructions: Complete the application, print a copy and deliver it to CTE office via personal delivery or US Postal Service (faxed, emailed and late applications will not be considered). Please note: Application cannot be saved.

Work Experience: Include paid and volunteer experience. Please attach a separate sheet if necessary. Related experience may not be a requirement for admission; however, we seek individuals who are motivated and understand the employment conditions of the occupation.

Employer or Organization Address and Telephone Number Job Description Dates of

Employment Reason for

Leaving (if applicable)

How did you find out about this program?

Former Student (Name) Employer Counselor Agency (Name) Internet Other

I declare that the information submitted in this application is true and correct to the best of my knowledge. I acknowledge that it is my responsibility to notify CTEC of any subsequent changes regarding information provided. I understand that obtaining a license or certification may require a background check.

Signature of Applicant Date

Butte County CTEC does not discriminate on the basis of race, color, national origin, age, religion, political affiliation, gender, mental or physical disability, sex orientation, genetics, or any other basis protected by federal, state or local law, ordinance or regulation, in its educational program(s) or employment.

APPLICATIONS MUST BE MAILED OR DELIVERED TO:

Career Technical Education Center2491 Carmichael Dr. Suite 500

Chico, CA 95928

Applications accepted at the CTEC Office Monday, Wednesday & Friday 8:30 a.m.-12:00 p.m.

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Butte County Career Technical Education 2020-2021

CTE’s objective is to train students in occupational areas where they will be employable. Certain employers maintain strict hiring standards requiring background checks and drug screening. Therefore, it is important that applicants discuss potential employment barriers with the CTE Coordinator. Have you ever been convicted of a crime? Yes No Print name (first last) Signature Date