Career Academy Pre-Registration

Student Information
Student Legal First Name:
*
 		Preferred Name:

       		Student MI:

       		Student Last Name:
*
 
Student Mailing Address:
*
 		City:
*
 		State:
*
 		Zip:
*
 
Student DOB: mm/dd/yyyy
*
 
   		Student Phone: xxx-xxx-xxxx
*
 
 		Student Personal Email Address:
*
 
 
Gender:*                  
 		US Citizen:*                          
 		Hispanic/Latino:*                      
 
Ethnicity/Race:*
High School Information
Home High School:
*
 		High School Graduation Year:
* (4 digit year)
 
Student High School Email Address:
*
 		Parent/Guardian Name(s):
*
 
Parent/Guardian Phone:(xxx-xxx-xxxx)
*
 
DMACC Career Academy Opportunities


Select DMACC Year:
*
 		Career Academy:
*
 
Program:
*
 		Section:
*
 

Your admittance to DMACC Career Academy is based upon:
1. Meeting your high school requirements
2. Availability of space within the academy
High school counselors will be notified if an academy is full.

* I understand, if I have an IEP and/or 504 plan, that I must complete the DMACC Disabilities Services Application for Accommodation in order to be considered for the appropriate accommodations.  
* I understand it is my responsibility to provide transportation to and from the academy and any respective work sites.  
* I have discussed enrolling with my parent and/or guardian and they have given approval for my enrollment into the career academy.  
* I understand FERPA rights apply to all students who attend postsecondary institutions and if I would like a parent or guardian to have access to my DMACC information, I will have to complete a FERPA Release Form at https://www.dmacc.edu/ferpa/ferpaexceptions.html and submit it to DMACC's Registrar's Office.