SICTC Student Application

Fields marked with * are required

Student Information

Date of Birth

Guardian Information

School Information

Program Choices

Course descriptions and additional information available at www.sictc.com

State your reason for selecting your choice. Please include a statement that includes, but not limited to:
1. Your related work experiences, volunteering, or job shadowing in the area of choice
2. Any school or outside school activities in which you participate related to the area of choice
3. Your plans following graduation from high school in the area of choice

Feel free to also include any other information that you feel will be relevant to your selection into the program.

Program Choice #1

Program Choice #2

Program Choice #3

Physical Conditions

Are there any known health or physical conditions which may prevent your meeting the demands of the program? For example: hernia, seizure problems, eye conditions, asthma, allergies, musculoskeletal, etc...

If yes, please list any physical conditions

I agree to the Terms and Conditions set forth upon submitting this application

I have read and agree to the Terms and Conditions