Deer Park High School- Applications of Career Technology

Please complete the application below:

First name:

Last name:

Date of Birth:

Cell phone number:

Email Address:

Age:

Current Grade Level

Do you have Transportation?

Are you employeed?

If yes, where?

Supervisor Name:

Supervisor phone #

Program that you are applying for:

Family Consumer Sciences Career Preparation

Heath Science Technology Career Preparation

Diversified Career Preparation

Marketing Education Career Preparation

WBL Business Education Career Preparation

Please fill in your class schedule and teachers:

Class period	Name of Class	Teacher
1
2
3
4
5
6
7

Admission of these programs is based on grade level,age appropriateness, interest, class space availability, and aptitude. It is the policy of DPISD not to discriminate on the basis of race, color, national origin, sex or handicap i it Career and Technical Education programs, services or activities as required by Title VI of the Civil Rights Act of 1964, as amended: title IX of the Education Amendments of 1972: and Section 504 of the Rehabilitation Act of 1973, as amended.