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College Credit in High School (CCHS) Career Academy Interest Form 2022-23
First Name
*
Last Name
*
Preferred First Name
Email Address
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Mobile Phone
*
Participant Date of Birth
*
1
Organization Name (full or partial)
Country
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United States
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote dIvoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic Of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic Peoples Republic Of
Korea, Republic Of
Kosovo
Kuwait
Kyrgyzstan
Lao Peoples Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Minor Outlying Islands of United States
Moldova, Republic Of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French Part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
Samoa, American
San Marino
Sao Tome and Principe
Saudi Arabia
Scattered Islands
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich Islands
South Sudan
Spain
Sri Lanka
Stateless
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province Of China
Tajikistan
Tanzania, United Republic Of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (US)
Virgin Islands, British
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
State/Province
City (full or partial)
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High School Not Listed or is outside the United States
Actual or Expected Month of High School Completion
*
January
February
March
April
May
June
July
August
September
October
November
December
Actual or Expected Year of High School Completion
*
High School GPA
I don't remember my GPA
Have you completed High School
Yes
No
Transcript GPA
Completed HS Yes Options
Graduated High School
Graduated Home School
Earned GED
Earned ADHS
Completed HS No Options
Currently in High School
Currently in Home School
Pursuing HSED
Pursuing GED
None of the Above
Parent Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email Address
Parent/Guardian 1 Phone Number
Which course format would you consider enrolling in?
Onsite at my high school
Online or Main Campus
Regional Center/ Career Academy
Regional/County Center
Regional/County Center Selection
*
Benton/Iowa County
Johnson Regional Center
Jones Regional Center
Linn Regional Center
Washington Regional Center
Career Interest Area
*
Animals, Food and Land
Arts & Design
Business
Culture, Communication, and Human Behavior
Health & Wellness
Manufacturing, Trades and Transportation
Social Services, Safety and Education
STEM and IT
Unsure
Linn Regional 1st Choice Academy
*
Administrative and Project Management
Advanced Manufacturing with Robotics & Welding
Architecture, Construction & Engineering (ACE)
Automotive Collision Repair and Restoration
Automotive Technology
CAD/Mechanical Technology
Criminal Justice
Dental
Digital Arts, Social Media and Marketing
Education
Emergency Medical Technician (EMT) & Fire Science
Liberal Arts Pick and Choose
Patient Care Exploration
Pre-Med, Nursing, and Professional Health Careers
Technology
Undecided
Johnson Regional 1st Choice Academy
*
Administrative and Project Management
Advanced Manufacturing with Robotics & Welding
Architecture, Construction & Engineering (ACE)
Automotive Collision Repair and Restoration
Automotive Technology
Criminal Justice
Digital Arts, Social Media and Marketing
Education
Emergency Medical Technician (EMT) & Fire Science
Liberal Arts Pick and Choose
Medical Laboratory Technician (MLT)
Patient Care Exploration
Pre-Med, Nursing, and Professional Health Careers
Technology
Jones Regional 1st Choice Academy
*
Advanced Manufacturing with Robotics & Welding
Architecture, Construction & Engineering (ACE)
Automotive Technology
CAD/Mechanical Technology
Dental
Digital Arts, Social Media and Marketing
Emergency Medical Technician (EMT) & Fire Science
Liberal Arts Pick and Choose
Patient Care Exploration
Washington Regional 1st Choice Academy
*
Advanced Manufacturing with Robotics & Welding
Agriculture Science
Architecture, Construction & Engineering (ACE)
Automotive Collision Repair and Restoration
Automotive Technology
Criminal Justice
Digital Arts, Social Media and Marketing
Education
Emergency Medical Technician (EMT) & Fire Science
Liberal Arts Pick and Choose
Patient Care Exploration
Technology
Welding Academy
Linn Regional 2nd Choice Academy
Administrative and Project Management
Advanced Manufacturing with Robotics & Welding
Architecture, Construction & Engineering (ACE)
Automotive Collision Repair and Restoration
Automotive Technology
CAD/Mechanical Technology
Criminal Justice
Dental
Digital Arts, Social Media and Marketing
Education
Emergency Medical Technician (EMT) & Fire Science
Liberal Arts Pick and Choose
Patient Care Exploration
Pre-Med, Nursing, and Professional Health Careers
Technology
Undecided
Johnson Regional 2nd Choice Academy
Administrative and Project Management
Advanced Manufacturing with Robotics & Welding
Architecture, Construction & Engineering (ACE)
Automotive Collision Repair and Restoration
Automotive Technology
Criminal Justice
Digital Arts, Social Media and Marketing
Education
Emergency Medical Technician (EMT) & Fire Science
Liberal Arts Pick and Choose
Medical Laboratory Technician (MLT)
Patient Care Exploration
Pre-Med, Nursing, and Professional Health Careers
Technology
Jones Regional 2nd Choice Academy
Advanced Manufacturing with Robotics & Welding
Architecture, Construction & Engineering (ACE)
Automotive Technology
CAD/Mechanical Technology
Dental
Digital Arts, Social Media and Marketing
Emergency Medical Technician (EMT) & Fire Science
Liberal Arts Pick and Choose
Patient Care Exploration
Washington Regional 2nd Choice Academy
Advanced Manufacturing with Robotics & Welding
Agriculture Science
Architecture, Construction & Engineering (ACE)
Automotive Collision Repair and Restoration
Automotive Technology
Criminal Justice
Digital Arts, Social Media and Marketing
Education
Emergency Medical Technician (EMT) & Fire Science
Liberal Arts Pick and Choose
Patient Care Exploration
Technology
Welding Academy
Academic Program Event
Guest Student (Not Seeking a Kirkwood Degree)
Advanced Welding Technologies
Agricultural Business
Agricultural Science
Anthropology/Cultural Studies
Apparel Merchandising & Design
Architectural Technology
Art
Automotive Collision Repair and Restoration
Automotive Technology
Biology
Business Administration
Business Administration - Online
Business Administration: Accounting - Online
Business Administration: Administrative Management
Business Administration: Financial Services
Business Administration: Management
Business Administration: Management - Online
Business Administration: Marketing Management
CAD/Mechanical Engineering Technology
Carpentry
Chemistry
CNC Machining Technology
Communication Studies
Computer Science
Computer Software Development
Computer Support Specialist
Construction Management
Criminal Justice
Criminal Justice - AAS
Culinary Arts
Dental Assisting
Dental Hygiene
Diagnostic Assistant
Diesel Agriculture Technology
Diesel Truck Technology
Digital Arts - AAS
Digital Media
Early Childhood Education
Early Childhood Education - AAS
Economics
Education
Electroneurodiagnostic Technology
Electronics Engineering Technology
Engineering
English
Environmental Science
Exercise Science and Wellness
Fire Science Technology
Graphic Communication Technology
History
Horticulture Sciences
Hospitality Management
Human Services/Social Work
Human Services - AAS
Humanities
HVAC Installer
Industrial Maintenance Technology
Interior Design
Journalism
Liberal Arts (AA)
Liberal Arts (AA) - Online
Liberal Arts - AS
Liberal Arts (AS) - Online
Mathematics
Medical Assisting
Medical Laboratory Technology
Music
Music - AAA
Network and Systems Administration
Nursing
Occupational Therapy Assistant
Paralegal Studies - Online
Paramedic
Parks & Natural Resources
Pharmacy Technician
Philosophy
Physical Therapist Assistant
Physics
Plumbing Pre-Apprenticeship
Political Science
Psychology
Religion
Respiratory Therapist
Sociology
Surgical Technology
Theatre
Veterinary Technician
Water Environmental Technology - Online
Web Technologies
World Language
Deciding (Still not sure)
Animals, Food, and Land
Arts and Design
Business
Culture Communication and Human Behavior
Default Academic Program
Health and Wellness
High School Non Degree
Manufacturing Trades and Transport
Social Services Safety Education
STEM and IT
Entry Term Event
Spring 2023 (Jan. - May)
Summer 2023 (May - Aug.)
Fall 2023 (Aug. - Dec.)
Spring 2024 (Jan. - May)
Summer 2024 (May - Aug.)
Fall 2024 (Aug. - Dec.)
Spring 2025 (Jan. - May)
Summer 2025 (May - Aug.)
Fall 2025 (Aug. - Dec.)
Spring 2026 (Jan. - May)
Summer 2026 (May - Aug.)
Fall 2026 (Aug. - Dec.)
Spring 2027 (Jan. - May)
Summer 2027 (May - Aug.)
Fall 2027 (Aug. - Dec.)
Spring 2028 (Jan. - May)
Summer 2028 (May - Aug.)
Fall 2028 (Aug. - Dec.)
Spring 2029 (Jan. - May)
Summer 2029 (May - Aug.)
Fall 2029 (Aug. - Dec.)
Spring 2030 (Jan. - May)
Summer 2030 (May - Aug.)
Fall 2030 (Aug. - Dec.)
Spring 2031 (Jan - May)
Summer 2031 (May - Aug)
Fall 2031 (Aug - Dec)
Spring 2032 (Jan - May)
Summer 2032 (May - Aug)
Fall 2032 (Aug - Dec)
Spring 2033 (Jan - May)
Summer 2033 (May - Aug)
Fall 2033 (Aug - Dec)
Spring 2034 (Jan - May)
Summer 2034 (May - Aug)
Fall 2034 (Aug - Dec)
Spring 2035 (Jan. - May)
Summer 2035 (May - Aug.)
Fall 2035 (Aug - Dec)
High School Grad Year Event
Entry Term
*
Fall 2023 (Aug. - Dec.)
Fall 2024 (Aug. - Dec.)
Fall 2025 (Aug. - Dec.)
Academic Program
*
High School Non Degree
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