WST Student # West Sound Technical Skills Center 101 NATIONAL AVE NORTH, BREMERTON WA 98312 PHONE (340)478-5083 FAX (360)478-5090 E-MAIL- WwW.wstse.com, APPLICATION Please press firmly and print neatly. Student Name OF OM. BirthDate__/ Mailing Address City Zip Email Address Home Phone Emergency Phone Sending School Present Grade level Social Sec# (Opt) Has student ever attended West Sound Tech before? Yes (] No SSNEREASESESSSNSEN SES ONSE OREN ERO EEN ESET My sowdaughter bas my permission t apply for raining at WST. I authorize West Sound Tech to have access to my son'sidaughters school records, which includes IEP information [ETHNIC ORIGIN (Circe one) Parent/Guardian Signature: Date ParenvGuardian Full Name (please print) Ame ssen locian) Bla Mailing Address City, Zip Pacific stander Asian Email soaassaaasdaenearsenesaneaaaeaeeeaeRREER | Alaskan Native White Counselors, please fill in this section Hispanie/Latin IEP on File) Yes C1 _ No (if yes, provide a copy of the IEP to WST) List ones: Total number of credits needed for graduation ‘Number of credits eared ‘Number of credits attempted Required subjects needed to make up Comments, Counselors Signature Required Date testeeteeseneeneesneenserennedeeenenetee PROGRAMS TO APPLY FOR: PUT# IN FRONT OF YOUR FIRST CHOICE AND #2 IN FRONT OF YOUR SECOND CHOICE ___ Automotive Technology a __ Precision Machining & Manufacturing Tech 1 _ Construction Trades 1 _ Collision Repair Technology (1 — Early Childhood Education CF ~Cosmetology(senio Sit Rewind) U _ Food Service/Culinary Arts Engineering & Design Technology CO Natural Resources Tech 1 — Professional Medical Careers — Academy of Finance Cl ~ Academy of Hospitality & Tourism ( _ Public Safety Occupations C1 _ Welding Session Preferred (Cirele One) Session I (am) Session II (pm) J understand that completing this application does not guarantee that | will be admitted to WEST SOUND TECHNICAL SKILLS CENTER Signature of Applicant. Date HOW TO APPLY AND REGISTER and regulations and does not \ ‘Meet wit your counselr, review your schetul, and btn approval to aply. Aisriminateon the basis of 2 Complete application and etal required signatures. rae, color, national origin, i [ring competed application to WST, rect with taf view fail quires 4 (Ostsn confieriation oF enrollment from your school counelor or WST ‘regaing compliance ance tvievance procedures may be Distribution White: WST Student File Yellow: Sending School Sires tothe school's Tit ‘applica TRC 284.640 Officer and ADA Coorainator, Dense Zak NTR SIT