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Class Period:	Today's Date:
Last Name:	First Name:
Mailing Address:	Phone Number: School ID Number:
Parent/Guardian Names: Mr. Ms.	Your Grade: Your Birth Date:

CAREER PATH: Please place an X in the blank of your chosen Career Path and Circle your focus area.

ARTS & COMMUNICATION:________ Social Research, Graphic Arts, Design, Entertainment, Music.	INDUSTRIAL TECHNOLOGY:________ Mechanics, Construction, Building Maintenance, Metalworking, Production, Transportation.
BUSINESS & MARKETING: ________ Administration, Clerical, Bookkeeping, Stock Control, Sales.	ENGINEERING & SCIENTIFIC:_______ Mathematics & Computing, Engineering & Design, Inspecting, Agriculture & Natural Resources, Electricity & Electronics.
HEALTH & HUMAN SERVICES:_______Food Processing, Textile & Apparel, Food Service, Health Service, Social Service, Personal Care, Protective.

Please write on the back of this paper a three or four sentence paragraph on why you are taking this course and how it will meet your educational goals.

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