Fillable Welcome to the Caldwell Community College and Technical (Caldwell Community College and Technical Institute)

Fill Online, Printable, Fillable, Blank Welcome to the Caldwell Community College and Technical (Caldwell Community College and Technical Institute) Form

Use Fill to complete blank online CALDWELL COMMUNITY COLLEGE AND TECHNICAL INSTITUTE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Welcome to the Caldwell Community College and Technical (Caldwell Community College and Technical Institute)

On average this form takes 12 minutes to complete

The Welcome to the Caldwell Community College and Technical (Caldwell Community College and Technical Institute) form is 3 pages long and contains:

  • 0 signatures
  • 36 check-boxes
  • 31 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Caldwell Community College and Technical Institute

BROWSE CALDWELL COMMUNITY COLLEGE AND TECHNICAL INSTITUTE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Welcome to the Caldwell Community College and Technical Institute
Career and College Promise High School Programs Application
Thank you for your interest in Caldwell Community College and Technical Institute. Whether you are considering a
college transfer pathway or a career and technical education pathway, you are taking a positive step toward building a
rewarding and prosperous future. Our primary goal is to make your educational experience as satisfying as possible. If
you have questions regarding your application or general questions about our programs and services, please contact
your Transition Advisor at the appropriate campus below. We look forward to serving you!
Note: Please mail or email your application and any enrollment related documents (official transcripts and official test
scores) to the appropriate Transition Advisor below for the campus you wish to attend.
Caldwell Applied Sciences Academy (CASA) Caldwell Early College High School (CECHS)
Attn: Frank Pait, Transition Advisor Attn: Katelyn Long, Transition Advisor
CCC&TI - 2855 Hickory Blvd., Hudson, NC 28638 CCC&TI - 2855 Hickory Blvd., Hudson, NC 28638
fpait@cccti.edu or fpait@caldwellschools.com klong@cccti.edu or klong@caldwellschools.com
Ph: 828-759-4653 Ph: 828-759-4647
Hibriten High School (HHS) South Caldwell High School (SCHS)
Attn: Sherry Herman, Transition Advisor Attn: Mitzi Triplett, Transition Advisor
1350 Panther Trail, Lenoir, NC 28645 7035 Spartan Dr., Hudson, NC 28638
sherman@cccti.edu or shherman@caldwellschools.com mftriplett@cccti.edu or mtriplett@caldwellschools.com
Ph: 828-758-7376*353 Ph: 828-396-2188
Watauga Innovation Academy West Caldwell Community College (WCHS)
Attn: Bobbie Watson, Transition Advisor Attn: Josie Varela, Transition Advisor
300 Go Pioneers Dr., Boone, NC 28607 300 W. Caldwell Dr., Lenoir, NC 28645
bjwatson@cccti.edu or watsonb@wataugaschools.org jvarela@cccti.edu or adv.jvarela@caldwellschools.com
Ph: 828-297-2185*5280 or Ph: 828-264-1330 Ph: 828-758-5583*137
Home Schooled or not a resident of Caldwell or Watauga Counties
Attn: Jeff Link, Executive Director Educational Partnerships
CCC&TI – 2855 Hickory Blvd., Hudson, NC 28638
jlink@cccti.edu Ph: 828-726-2606
The college is fully committed to providing a learning and working environment that is free from prohibited discrimination. The
college does not practice or condone discrimination based on race, color, national origin, religion, sex, sexual orientation, gender,
gender identity or expression, pregnancy, disability, genetic information, age, political affiliation or veterans’ status in the
administration or in any of its educational programs, activities and employment practices.
The college’s Title IX Coordinator has oversight responsibility for handling sexual harassment complaints and for identifying and
addressing any patterns and/or systemic problems involving sexual discrimination or harassment. All allegations involving sexual
harassment should be directed to the college’s Title IX Coordinator or one of the Deputy Coordinators listed Below:
Randy Ledford, Title IX Coordinator Rose Moon Dr. Kim Van Wie
Caldwell Campus Caldwell Campus Watauga Campus
H-Building, Room 124 A-Building, Room 121 W-460, Room 101
Phone: 828-726-2241 Phone: 828-726-2269 Phone: 828- 297-2185 Ext. 5206
Email: rlledford@cccti.edu Email: rmoon@cccti.edu Email: kvanwie@cccti.edu
____________________________________________________ _____________________________ ____________________
___________________________________
Caldwell Community College and Technical Institute
Career and College Promise High School Programs
Application for Admission
Mail or submit to:
Caldwell Campus Admissions
Watauga Campus Admissions
2855 Hickory Boulevard Hudson, North Carolina 28638
Post Office Box 3318 Boone, North Carolina 28607
(828) 726-2200 www.cccti.edu
(828) 297-2185 or Watauga High School (828) 264-1330
Please print. Answer all questions completely. Use legal name only.
Personal Information
Office Use Only
__________-_________-_____________
Social Security Number
Program Code
Expected Date of Entrance: Year______ Fall Spring Summer
_______________________/_______________________/______________________/_____________________
Legal Name: (Last) (First) (Middle) (Former)
Mailing Address: Number, Street, Route, Box Number City, State, Zip Code County
______-_______-_______ _______-_______-_______ ______-_______-_______ _____/_____/_____
Home Phone Number Work Phone Number Cellular Phone Number Date of Birth*
Do you consider yourself Hispanic / Latino? Yes No
Contact in case of emergency
Select one or more of the following racial categories:
___________________________________
American / Alaska Native (AN) Asian (AS)
Name and Relationship
Black or African American (BL)
Hawaiian / Pacific Islander (HP) White (WH)
___________________________________
Work Phone
Gender*: Male Female
Home Phone
*Information will not be used in a discriminatory manner; for record keeping purposes only
Education Goals
Education Goals: (Check one Only)
To obtain an Associate Degree, Diploma or Certificate
(GR)
To take courses to transfer to another college
(TR)
To enhance my job skills in my present field of work
(EP)
To take courses for personal enrichment or interest
(PE)
To enhance my employment skills for a new field of work
(EN)
Enrollment Information
Day
Evening
Caldwell Campus ( Hudson, NC)
Watauga Campus (Boone, NC)
Print
Reset
___________________________________________ __________________________________________
____________________________________ _______________ ____________________________________
Education Information
High School Attending
______________________________________________
_____________________________________
_____________ / _____________
(month) (year)
School Name
Location (City and State)
Anticipated Graduation Date
Student Employment Status: (Check One)
(UN) Unemployed-Not seeking employment (US) Unemployed-Seeking employment
(E1) Employed 1-10 hours per week
(E2) Employed 11-20 hours per week
(E3) Employed 21-39 hours per week
(E4) Employed 40 or more hours per week
Parent Educational Level: Has either of your parents completed a four year degree? Yes No
Student Educational Level: (Mark the appropriate level you have COMPLETED) 8 9 10 11 12
Special Information
Accommodations are available for qualified students with disabilities. For further information, call 828-726-2716
(Caldwell), or 828-297-3811 (Watauga).
Students must meet course prerequisites as evidenced by satisfactory placement test scores, SAT/ACT scores or previous college coursework.
Student Information Release Permission
I hereby give permission to release all grades and educational information to the individuals and high school listed below:
Please list full name and relationship to student Please list full name and relationship to student
Student Transportation Release
I will be responsible for providing my own transportation for college campus classes, if it is not provided by the public
schools. I accept full responsibility for my action to and from the college and will not hold Caldwell Community College or
school system responsible for any accident, injury or damage occurring during transit.
Accident Insurance
Accident insurance is available for all Caldwell Community College students. This policy provides coverage while
students are in class, but not while traveling to and from campus. The cost per semester or year is $6. The coverage is
optional.
The Student applicant and parent/guardian must check appropriate option below.
I want to purchase the accident insurance available through Caldwell Community College. Purchase must be
made through the college Business Office.
I waive the right to purchase accident insurance and assume responsibility for all medical costs incurred by me
while I am a student at Caldwell Community College.
I certify that the information on this application is correct. I agree to abide by the rules, policies, and regulations
of Caldwell Community College and Technical Institute during my enrollment at the college.
Signature of Applicant Date Signature of Parent or Guardian (if applicant is under 18)
Caldwell Community College and Technical Institute is an equal opportunity educator and employer.
Rev. 3-22-19 cw
Month
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Welcome to the Caldwell Community College and Technical (Caldwell Community College and Technical Institute)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document