R.G. Drage APPLICATION FOR ADMISSION

Paper Application

Student Information

First Name

Middle Name

Last Name

Ethnicity

City of Birth

Date Of Birth

Address

City

State

Zip

County

Other

Phone

Student Email

HomeSchool

My student is a potential College DI/II Athelete

Hispanic/Latino?

Adult Uni-Sex T-Shirt Size

Military Student Identifier
Identifies student with a parent or legal guardian who is an active member of the Armed Forces or National Guard.

Are you interested in pursuing the College Credit Plus program while attending RG DRAGE?

Parent/Guardian #1 Information- (With Whom Student Lives)

First Name

Middle Name

Last Name

Address

City

State

Zip

Live With Student

Relationship

Phone

Parent/Guardian Email Address

Parent/Guardian #2 Information

First Name

Middle Name

Last Name

Address

City

State

Zip

Live With Student

Relationship

Phone

Parent/Guardian Email Address

Program Information

Next Year Grade Status

First Choice Career Program

Second Choice Career Program

Third Choice Career Program

I have talked with my son/daughter about the career technical programs and approve his/her application for enrollment. I understand that my child has until the last day of the current school year to withdraw from the program to which they have been accepted. After the end of the current school year, students will be required to complete the first five days at the start of the next school year at R. G. Drage Career Technical Center. No requests for withdraw will be honored during the summer months. We, the undersigned, have read and are in agreement with all the above information and requirements.

Parents/ Students Comments

Approved By (Parent / Guardian Name)

Stark County Area Vocational School District conforms to all federal, state, and local laws and regulations including Title IX and nondiscrimination against any individual because of race, color, creed, sex, religion, citizenship, homeless/economic status, marital status, pregnancy, handicap, other physical/genetic characteristics, age, or otherwise qualified handicapped conditions, and provides equal access to the Boy Scouts and other designated youth groups.