Welcome

SOUTHWEST METRO INTERMEDIATE DISTRICT 288
CAREER & TECHNICAL EDUCATION
REGISTRATION FORM-SPRING 2023

Enrollment subject to course availability.

STUDENT INFORMATION

STUDENT'S LEGAL NAME*
Birthdate*
Gender*
Our systems currently only allow binary identification.
Ethnic and Racial Demographic Designation*
Check all that apply.
Student Address*

EDUCATION INFORMATION

Counselor/Case Manager
Does the student have an IEP or 504 Plan?*

COURSE SELECTION

Enrollment subject to course availability

Program*
Block

Online courses are not tied to a block; students will be contacted with more information on course structure and expectations.

  Block 1 (8:15 am - 9:45 am) Block 2 (10:00 am - 11:30 am) Block 3 (1:15 pm - 2:45 pm)
Animal Science
Outdoor Power Equipment
Aviation Tech (Drone Tech)
Cosmetology
Criminal Justice - Police and Community*
Education Pathways - Multicultural Relations
Child Development Associate (CDA)
Photography & Graphic Design
Computer Networking & Computer Repair
Automotive Technology - Engine Performance & Repair
Construction Technology
Residential Electrician
YouthBuild - Construction
Nurse Assistant Registered (NAR)
Emergency Medical Technician (EMR)
Anatomy & Physiology*
Medical Terminology*
Youth Apprenticeship/Work-based Learning
* indicates online option

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name*
Relationship to Student*
Parent/Guardian Address*

EMERGENCY CONTACT INFORMATION

(Other than parent/guardian)

Emergency Contact Name*
Emergency Contact Relationship to Student*

CONFIRMATION

Person Submitting this Form*
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Date of Signature*
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