SENATOBIA-TATE COUNTY CAREER TECHNICAL CENTER

APPLICATION FOR ADMISSION

Name:__________________________________ School:

Race: ____Sex: _____Grade:_9th____Date of Birth: __________Present Age: _______

Parent/Guardians Name:_________________________________________________

Address:__________________________________________________

City:_______________________________ Home Phone:______________________

Cell Phone: ________________________ Email Address: ___________________________

Program Choice:

Please place a 1 by your first choice and a 2 by your second choice.

_____HEALTH SCIENCES _____CARPENTRY & CONSTRUCTION

_____AUTO SERVICES _____ BUSINESS FUNDAMENTALS &

MARKETING
_____ROBOTICS ENGINEERING

Parent/Student Information:
A two-week trial period will be required of all accepted enrollees. The parent and student agree
to comply with this procedure.
Equal Opportunity: Career placement will be made without regard to race, color, national origin,
sex, age, religion, or presence of a disability.

Student Signature________________________________________________Date____________

Comments:
____________________________________________________________________________

Tate County Schools does not discriminate on the basis of race, creed, national origin, sex, age, or disability.