Charlotte Technical Center

Please fill out the application for dual enrollment form below completely thank you.

Applicant's Name*
FirstLast
Parent or Guardian Name*
FirstLast
Applicant's Date of Birth*
Address*
Street AddressAddress Line 2CityStateZip Code
Email Address*
You will be notified of your admission status by email.
Main Phone #*
Alternate Phone #
Name of High School*
Other High School Name
Only enter if "Other" was chosen in the previous field.
McKay Scholarship
- Yes
- No
If you attend a private school, please indicate whether you receive a McKay Scholarship.
Current Grade Level*
Current GPA*
Number of absences this school year*
Number of Discipline Referrals this school year*
Have you passed FCAT Reading?
- Yes
- No
- Don't know
Have you passed FCAT Math?
- Yes
- No
- Don't know
- Not required for my graduation class
Career-Technical Program First Choice*
Career-Technical Program Second Choice
Your second choice program option will only be considered if you are unable to secure a seat in your first choice.
Class Time Preference*
Reason for Class Time Preference
Comments

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