| BEAUMONT INDEPENDENT SCHOOL DISTRICT Taylor Career Center APPLICATION FORM FOR PRE-EMPLOYMENT LAB CLASSES |
| Date ___________________________ |
| Present Student Name _______________________________Grade Level _______I.D.#___________________ Last First M.I. Address _____________________________________________Telephone#______________ Street City State Zip Date Of Birth _________________________ Age ______ Sex _____S. S.# ________________ Month Day Year Parent Signature ___________________________Home Campus _______________________ PRE-EMPLOYMENT LAB CLASSES |
| (2) _______ (0452) (1452) Advanced Office Technology ....................................................11-12 |
| (2) _______ (3357) (4457)Automotive Collision/Repair/Refinishing Technology ..................10-12 |
| (2/3) _____ (3658) (3758) .Building Trades..........................................................................10-12 |
| (3) _______ (3557) (4657) Cosmetology......................... ....................................................11-12 |
| (2/3) _____ (3157) (4257) Automotive Technician ...............................................................10-12 |
| (2) _______ (4552) Computer Network Technology .............................................................11-12 |
| (2) _______ (3552) Computer Systems Technology ...........................................................11-12 |
| (2) _______ (0294) (0394) Culinary Arts..............................................................................10-12 |
| (2) _______ (3359) (4359) Graphic Arts .............................................................................10-12 |
| (2) _______ (3348) (4348) Horticulture ...............................................................................10-12 |
| (2) _______ (3358) (4458) Metal Trades .............................................................................10-12 |
| (2) _______ (3254) (4454) Health Science Technology ......................................................11-12 |
| (2) _______ (3556) (4556) Manicure Specialty................. ...................................................11-12 |
| (2) _______ (3159) (3259) Hospitality .Services Management..............................................11-12 |
| (2) _______ (5351) (6349) Petrochemical Plant Processes .................................................10-12 |
| I Understand that if I am accepted as a student for a vocational education class, a youth leadership club will be available for my membership, and if I choose to become a member I will be expected to pay State and National Dues |
| Student Signature ___________________________________________ |
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| COUNSELOR'S USE ONLY (not to be filled in by student) Number of Credits ______ Grade Point Average _________ Conduct Average _____________ Attendance (more than 5 unexcused days): Yes______ No_______ Other Comments: _________________________________________________________ |
| It is the policy of the Beaumont Independent School District not to discriminate on the basis of race, color, national origin, sex, or handicap in its vocational programs, services, or activities as required by Title IX of Civil Rights of 1964, and Sections 504 of the Rehabilitation Act of 1973, as amended. For information about your rights or grievance procedures, contact Mrs. Marilyn Busceme, at 3395 Harriston Street, Beaumont, texas 77706, 899-9972, Title IX, Section 504 Coordinator. |
| RETURN COMPLETED FORM TO VOCATIONAL COUNSELOR'S OFFICE |