Application for High School Admission
Please Print
Date ________________________
Name __________________________________________________
Mailing Address ______________________________________City________________ Zip Code ________
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____________________ Grade ________________
Student phone# ________________ Email
(an email address you check)______________________________________
Father/Guardian Name ______________________________________Phone# ________________________
Mother/Guardian Name ____________________________________Phone# ________________________
First MI Last
2nd semester schedule by
teacher’s name and room number
1. ________________________
2. ________________________
3. ________________________
4. ________________________
5. ________________________
6. ________________________
Official Use Only:
Date:______________________ Program:__________________________
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SCORE
To be completed by high school counselor.
A current high school transcript must be attached to this application.
Total Absences First Semester _____________________ Cumulative GPA___________
PLAN Scores: Math %____________ Reading % _______________ Composite Score _______________
Needs:
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Algebra II math pullout class at GPTC
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Geometry pullout class at GPTC
Counselor Comments:
Consent for Release of Student Information
I hereby give my permission for my child’s high school to release grades, attendance records, and achievement test scores to
Great Plains Technology Center. I also give permission for the high school to release confidential records contained in my child’s
Individualized Education Plan (IEP), if applicable. I understand that all records are confidential and will only be reviewed by Great
Plains staff who serve my child.
_________________________________________________ ___________________________________
Signature of Parent or Guardian Date
CAREER CLUSTER INTEREST SURVEY
Check the items in each of the areas on the next two pages that best describe you. You may make as many or as few checks in
each area you choose. Add up the number of checked boxes in each area. Look to see which three areas have the highest
numbers.
NAME ____________________________________
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Activities that describe what I like to do:
q Learn how things grow and stay alive.
q Make the best of the earth’s natural resources.
q Hunt and/or fish.
q Protect the environment.
q Be outdoors in all kinds of weather.
q Plan, budget, and keep records.
q Operate machines and keep them in good repair.
Personal qualities that describe me. q Self-reliant
q Nature lover
q Physically active
q Planner
q Creative problem solver
School subjects that I like:
q Math
q Life Science
q Earth Sciences
q Chemistry
q Agriculture
School subjects that I like:
q Math q Drafting q Physical Sciences q Construction Trades q Electrical Trades/Heat, AC & Refrigeration/ Technology Education School subjects that I like: q Art/Graphic Design
q Music
q Speech and Drama
q Journalism/Literature
q Audiovisual Technologies School subjects that I like: q Computer Applications/
Business and Information Technology
q Accounting
q Math
q English
q Economics
School subjects that I like: q Language Arts
q Social Studies
q Math
q Science
q Psychology
School subjects that I like: q Accounting
q Math
q Economics
q Banking/Financial Services
q Business Law
School subjects that I like: q Government
q Language
q History
q Math
q Foreign Language School subjects that I like: q Biological Sciences
q Chemistry
q Math
q Occupational Health
q Language Arts Personal qualities that describe me.
q Curious
q Good at following directions
q Pay attention to detail
q Good at visualizing
q Patient and persistent
Personal qualities that describe me. q Creative and imaginative
q Good communication/good vocabulary
q Curious about new technology
q Relate well to feelings and thoughts of others
q Determined/tenacious
Personal qualities that describe me. q Organized
q Practical and logical
q Patient
q Tactful
q Responsible
Personal qualities that describe me. q Friendly
q Decision maker
q Helpful
q Innovative/Inquisitive
q Good listener
Personal qualities that describe me. q Trustworthy
q Orderly
q Self-Confident
q Logical
q Methodical or efficient
Personal qualities that describe me. q Good communicator
q Competitive
q Service-minded
q Well-organized
q Problem solver
Personal qualities that describe me. q Compassionate and caring
q Good at following directions
q Conscientious and careful
q Patient
q Good listener Activities that describe what I like to do:
q Read and follow blueprints and/or instructions.
q Picture in my mind what a finished product looks like.
q Work with my hands.
q Perform work that requires precise results.
q Solve technical problems.
q Visit and learn from beautiful, historic, or interesting buildings.
q Follow logical, step-by-step procedures. Activities that describe what I like to do:
q Use my imagination to communicate new information to others.
q Perform in front of others.
q Read and write.
q Play a musical instrument.
q Perform creative, artistic activities.
q Use video and recording technology.
q Design brochures and posters.
Activities that describe what I like to do:
q Perform routine, organized activities but can be flexible.
q Work with numbers and detailed information.
q Be the leader in a group.
q Make business contact with people.
q Work with computer programs.
q Create reports and communicate ideas.
q Plan my work and follow instructions without close supervision. Activities that describe what I like to do:
q Communicate with different types of people.
q Help others with their homework or to learn new things.
q Go to school.
q Direct and plan activities for others.
q Handle several responsibilities at once.
q Acquire new information.
q Help people overcome their challenges. Activities that describe what I like to do: q Work with numbers.
q Work to meet a deadline.
q Make predictions based on existing facts.
q Have a framework of rules by which to operate.
q Analyze financial information and interpret it to others.
q Handle money with accuracy and reliability.
q Take pride in the way I dress and look. Activities that describe what I like to do: q Be involved in politics.
q Negotiate, defend, and debate ideas and topics.
q Plan activities and work cooperatively with others.
q Work with details.
q Perform a variety of duties that may change often.
q Analyze information and interpret it to others.
q Travel and see things that are new to me. Activities that describe what I like to do: q Work under pressure.
q Help sick people and animals.
q Make decisions based on logic and information.
q Participate in health and science classes.
q Respond quickly and calmly in emergencies.
q Work as a member of a team.
q Follow guidelines precisely and meet strict standards of accuracy.
Total number checked in Area A Total number checked in Area B Total number checked in Area C Total number checked in Area D Total number checked in Area E Total number checked in Area F Total number checked in Area G Total number checked in Area H
4
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Activities that describe what I like to do: q Investigate new places and activities.
q Work with all ages and types of people.
q Organize activities in which other people enjoy themselves.
q Have a flexible schedule.
q Help people make up their minds.
q Communicate easily, tactfully, and courteously.
q Learn about other cultures.
Personal qualities that describe me. q Tactful
q Self-motivated
q Works well with others
q Outgoing
q Slow to anger
School subjects that I like: q Language Arts/Speech
q Foreign Language
q Social Sciences
q Marketing
q Food Services
School subjects that I like: q Language Arts
q Psychology/Sociology
q Family and Consumer Sciences
q Finance
q Foreign Language School subjects that I like:
q Math q Science q Computer Tech/ Applications q Communications q Graphic Design
School subjects that I like: q Language Arts
q Psychology/Sociology
q Government/History
q Law Enforcement
q First Aid/First Responder
School subjects that I like: q Math/Geometry
q Chemistry
q Trade and Industry courses
q Physics
q Language Arts
School subjects that I like: q Language Arts q Math q Business Education/ Marketing q Economics q Computer Applications School subjects that I like:
q Math q Science q Drafting/Computer-Aided Drafting q Electronics/Computer Networking q Technical Classes/ Technology Education School subjects that I like:
q Math
q Trade and Industry courses
q Physical Sciences
q Economics
q Foreign Language Personal qualities that describe me.
q Good communicator/good listener
q Caring
q Non-materialistic
q Intuitive and logical
q Non-judgemental
Personal qualities that describe me. q Logical/analytical thinker
q See details in the big picture
q Persistent
q Good concentration skills
q Precise and accurate
Personal qualities that describe me. q Adventurous
q Dependable
q Community-minded
q Decisive
q Optimistic
Personal qualities that describe me. q Practical
q Observant
q Physically active
q Step-by-step thinker
q Coordinated
Personal qualities that describe me. q Enthusiastic
q Competitive
q Creative
q Self-motivated
q Persuasive
Personal qualities that describe me. q Detail-oriented
q Inquisitive
q Objective
q Methodical
q Mechanically inclined
Personal qualities that describe me. q Realistic
q Mechanical
q Coordinated
q Observant
q Planner Activities that describe what I like to do:
q Care about people, their needs, and their problems.
q Participate in community services and/or volunteering.
q Listen to other people’s viewpoints.
q Help people be at their best.
q Work with people from preschool age to old age.
q Think of new ways to do things.
q Make friends with new kinds of people. Activities that describe what I like to do: q Work with computers.
q Reason clearly and logically to solve complex problems.
q Use machines, techniques, and processes.
q Read technical materials and diagrams and solve technical problems.
q Adapt to change.
q Play video games and figure out how they work.
q Concentrate for long periods without being distracted. Activities that describe what I like to do:
q Work under pressure or in the face of danger.
q Make decisions based on my own observations.
q Interact with other people.
q Be in positions of authority.
q Respect rules and regulations.
q Debate and win arguments.
q Observe and analyze people’s behavior. Activities that describe what I like to do: q Work with my hands and learn that way.
q Put things together.
q Do routine, organized and accurate work.
q Perform activities that produce tangible results.
q Apply math to work out solutions.
q Use hand and power tools and operate equipment/machinery.
q Visualize objects in three dimensions from flat drawings. Activities that describe what I like to do:
q Shop and go to the mall.
q Be in charge.
q Make displays and promote ideas.
q Give presentations and enjoy public speaking.
q Persuade people to buy products or to participate in activities.
q Communicate my ideas to other people.
q Take advantage of opportunities to make extra money. Activities that describe what I like to do:
q Interpret formulas.
q Find the answers to questions.
q Work in a laboratory.
q Figure out how things work and investigate new things.
q Explore new technology.
q Experiment to find the best way to do something.
q Pay attention to details and help things be precise. Activities that describe what I like to do: q Travel.
q See well and have quick reflexes.
q Solve mechanical problems.
q Design efficient processes.
q Anticipate needs and prepare to meet them.
q Drive or ride.
q Move things from one place to another.
Total number checked in Area I Total number checked in Area J Total number checked in Area K Total number checked in Area L Total number checked in Area M Total number checked in Area N Total number checked in Area O Total number checked in Area P
Please record the areas with your highest numbers.
1. ____________________________________
2. ____________________________________
3.
____________________________________
Disclaimer: Your interests may change over time. These survey results are intended to assist you with informal career exploration. Consider more formal assessments and other resources or services to help you plan your career. This survey does not make any claims of statistical reliability.
For more information, check with a career counselor at your high school or with any of Great Plains career counselors listed on the next page.
High School Classes Available
GPTC Interview Notes –
For Official Use Only
Tech Tours or other GPTC visit/tour
q
YES: _____________________________________________
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NO
Why GPTC: __________________________________________________________________________________________
______________________________________________________________________________________________________
Attendance Issues: ____________________________________________________________________________________
______________________________________________________________________________________________________
Grades/Credit Check: ____________________Conflicts: ____________________________________________________
Program Specific Questions & Comments: ______________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Recommendation Level:
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1
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2
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3
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4
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5
Staff: _________________________________Date ______________
Please respond to the following questions in your own handwriting using complete sentences. Be prepared to discuss your
responses with a Great Plains Technology Center staff member during your interview.
1. What class do you want to enroll in at Great Plains Technology Center? Why? ________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
2. How do you plan to use the training you receive at Great Plains Technology Center? ____________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
3. What are your plans after high school? ______________________________________________________________
____________________________________________________________________________________________
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4. Have you had any work experience or classes that relate to the class you want to take? __________________________
____________________________________________________________________________________________
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5. What do you like to do in your free time (outside of school)? _____________________________________________
____________________________________________________________________________________________
____________________________________________________ _______________________________________
• 3D Animator
• Automotive Service Technician
• Biomedical Sciences
• Combination Collision Repair
Technician
• Criminal Justice Officer
• Culinary Arts
• Cyber Security Specialist
• Desktop Support Technician
• Diesel Truck Engine Repair
Technician
• Digital Graphic Designer
• Digital Photographer
• Executive Administrative Assistant
• Heating & Air Conditioning
Technician
• Hospitality Service Assistant
(Enrollment by Special Permision)
• Medical Office Assistant
• Multimedia Assitant
• Nursing Assistant
(includes an
Anatomy & Physiology credit)
• Pre-Engineering
• Residential Carpentry
• Residential Electrical Technician
• Teacher Prep
• Video Producer
• Welding
I prefer to attend GPTC:
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AM Session (8:15-10:55 a.m.)
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PM Session (11:50-2:40 p.m.)
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EITHER Session
Class Choice: 1st _______________________________ 2nd ________________________________________
• Meet students from 13 different high schools.
• Join student organizations!
• Compete at regional, state, and national levels in your chosen career field.
Get involved. Have fun. Be yourself!
• Hands-on education
• High school students attend FREE
• Free transportation to and from your high school
• Free tutoring in the Academic Center
facebook.com/greatplainstechnologycenter
Follow us on Twitter. @GreatPlainsTech
For information contact:
Joelle Jolly, Director of Student Support Services
580.250.5640
email: [email protected]
www.greatplains.edu
You can make Great Plains Technology Center a
part of your high school education.
Notice of Non-Discrimination: Great Plains Technology Center does not discriminate on the basis of race, color, national origin, sex/gender, disability, religion or veteran status in its educational programs or activities. This includes, but is not limited to recruitment, admissions, educational services and activities, financial aid and employment. Inquiries concerning application of this policy may be referred to James Bishop or Karen Bailey at 580.355-6371 or at Great Plains Technology Center, 4500 W. Lee Boulevard, Lawton, OK.