“Building Skills… Changing Lives”
23640 Airport Road | Coshocton, Ohio 43812-9599 | Phone: 740.622.0211 | Fax: 740.623.4651
Student Enrollment Application
View Coshocton County Career Center
Student enrollment can be completed in two ways; Fill-in and submit the online form below OR click here to download the application to print and write-in the answers by hand.
 
 
 
Student Enrollment Application
Student Enrollment Application For Coshocton County Career Center
 
The Board of Education does not discriminate on the basis of the Protected Classes of race, color, national origin, sex (including sexual orientation and transgender identity), disability, age (except as authorized by law), religion, military status, ancestry, or genetic information (collectively, "Protected Classes") in its educational programs or activities.
 
Students are conditionally accepted based on appropriate transcript and credits. Applications are processed on a first-come, first-sereved basis until programs are filled.
 

Student Last Name
Student First Name
Student Middle Name
Birth Date
Gender
Ethnicity
Birth City, State
High School
Current Grade Level
List Parent(s)/Guardian(s)
Address Street
City
Zip Code
Home Phone
Parent Cell Phone
Parent/Guardian Email Address
1st Choice of Career Tech Program
2nd Choice of Career Tech Program
Will student attend Full Day or Half Day at CCCC?
I have discussed this plan with my child and give CCCC permission to process this application.
Parent/Guardian: Type your name to confirm application.
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

3 + 8 =
© 2018. All Rights Reserved. Coshocton County Career Center.
23640 Airport Road  |  Coshocton, OH 43812  |   Phone: 7406220211  |   Fax: 7406234651
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