Application – Burlington Technical Center

Burlington Technical Center Student Application Form

Students are to complete this application online. In addition to this student application, for consideration of acceptance; counselors must indicate their recommendation and forward academic information to BTC (transcript, assessment scores, attendance records). Applications are due March 13, 2020 with rolling applications based on availability after this date.

Applicant Information

Name *

First

Middle

Last

Email Address *

Date of Birth *

Current Grade *

Username *

Your email address should be your user name.

Password *

For the highest level of security, we recommend you use our system-generated password. Be sure to make a record of it so you can login later.

High School Attending *

Legal Town of Residence *

Your Home Address

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Parent/Guardian #1

First Name *

Last Name *

Email *

Phone *

Parent/Guardian #2

First Name

Last Name

Phone

Burlington Tech Center Programs

Select the program would you most like to attend.

I would like to attend *

2nd Choice (if your 1st choice is not available)

Have you visited your 1st choice program? *

Yes!
No, not yet 🙁

Have you visited your 2nd choice program?

Yes!
No, not yet 🙁

Safety

Some BTC programs have safety risks due to the nature of the equipment and tools used in those programs.

I understand that care, caution and appropriate behavior are necessary to ensure a safe environment for oneself and others as stated in our Program of Studies. *

By clicking this box, I agree that I understand the safety concerns inherent in technical programs.

Personalized Learning Plan (PLP)

It is required that tech center program enrollment be reflected in a student's Personalized Learning Plan if they chose to attend a career and technical education program. Our programs are an important element of Flexible Pathways to graduation. The programs are integral to your current high school work and your post-high school plans for college and career readiness.

My Personalized Learning Plan supports my intention to apply to and/or enroll in a career and technical education program at BTC. *

By clicking this box, I acknowledge that my PLP must reflect a career and technical education application and/or enrollment.

Tell us why you would like to enroll in this program and how it relates to your career/post high school plan.

Next Steps to Enrollment

I understand that my acceptance to BTC includes a visit to BTC. *

Yes, I understand!

I understand that my parents/guardians must be notified of my interest/application to BTC (n/a to adult students only). *

Yes, I confirm that I have discussed or will discuss application with my parent/guardian, or I am an adult applying to the program.

I understand that my application is complete when my school counselor has reviewed it (n/a only if I am home-schooled or an adult student). *

Yes, I understand!

I understand that my application is complete when my school counselor has sent recommendation and academic materials (n/a only if I am home-schooled or an adult student). *

Yes, I understand!

I understand that my acceptance to BTC includes an interview with the program instructor. *

Yes, I understand!

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