Vocational Education & Training Institute

AT CETIS

APPLICATION FOR ADMISSION

Premier Vocational Education Training Institute hereby provides notice that it does not discriminate in admission or employment in any of its educational programs or activities on the basis of race, color, sex, religion, national origin, sexual orientation, or disability. This application form must be completed and submitted to the Premier Administrative Department. In addition to this application form, the applicant’s must submit a $35 non-refundable application fee. The applicant’s current or most recent guidance counselor will submit transcripts that include the applicant’s grades, attendance record and discipline/conduct record. If the applicant is currently enrolled in school, the guidance counselor shall also submit a recommendation as well.

 Applicant Name: Last: _________________­­­­­­____________ First: ___________________ Middle Init:_________

Home Address: Street and Number: ______________________________________________________________

City/Town: ________________________________ State: ___________________ Zip Code: ________________

Home Phone: ______________________________ Email Address: _____________________________________

Date of Birth: _______________________Social Security #_____________________________ Age:__________

Current/Last School: ______________________________________________Current/Last Grade: ____________                    

                                     □ Court Appointed □ Walk In 

Parent/Guardian Name: Last: _______________________ First: ___________________ Middle Init:________ Home Address: Street and Number: ______________________________________________________________ City/Town: ________________________________ State: ___________________ Zip Code: ________________ Home Phone: ______________________________ Cell Phone: ________________________________________ Email Address: _____________________________ Work Phone: _______________________________________  Signature______________________________________________________________Date_____________________

Select the share tab below to email your Application to www.vocationale@gmail.com

**Submit $35.00 Non-refundable application fee to:

Cash App:  $PREMIERCETIS

paypal.me/CETIS