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).

Applicant Information

Name *

First

Middle

Last

Email Address *

Date of Birth *

Current Grade *

Username *

Password *

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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