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District Staff ONLY Approval Form

Please complete the form below. Required fields marked with an asterisk *

The email entered below is the district staff member that will be identified as the recipient of this application for approval. A copy of this form will be sent to the email address you provide below.

This information is to verify the student is APPROVED to attend MICTED Central Campus Classes and will become the time stamp for programs that generate a wait list.

Has the student registered with MICTED? If the answer is Yes, the student would have already received the completed form in their email as a verification in the application process. If the answer is No, Stop Here and have the Student complete this step first.*
Answer Required
Is the student currently registered as a YC student? Since we are no longer able to view students in the early college system we need the Student's Y number to complete the registration process - If the answer is No, Stop Here and have the Student complete this step first. *
Answer Required
The student has been told that an orientation must be attended to keep their seat in an MICTED program. If they don't attend a Program Orientation by June 30, 2024 they may lose their enrollment seat. *
Answer Required
Please identify where the student attends High School:*
Answer Required
What grade will the student be in next year (Fall 2024)? *
Answer Required
Student Projected Graduation*
Answer Required
Which Program has the Student applied for?
NOTE: Students can only enroll in 1 Central Campus Program a year. Please choose from one of the following selections (AM, PM, FRIDAY Programs)
AM Central Campus Programs: Morning Classes. These are programs offered at our central campuses during the morning 6:45-9:15 AM
Answer Required
PM Central Campus Programs: Afternoon Classes. These are programs offered at our central campuses during the afternoon 1:15 PM-3:45 PM
Answer Required
FRIDAY Central Campus Programs: These are programs offered at our central campuses on Fridays. These 5 hour programs are 8:00 AM- 1:00 PM and students only attend on Fridays.
Answer Required
Online Central Campus Programs: These classes are ONLINE only. It is up to your District policy if students stay on campus or are released for classes.
Answer Required
Program choice currently fits in student schedule*
Answer Required
If applicable, has the student completed all Pre-Requisites for their program choice? This includes taking accuplacer testing if the student's GPA is below a 2.8? All CNA student's MUST take a reading and math accuplacer test NO MATTER their GPA. *
Answer Required
Your District transportation information has been communicated to the registering student*
Answer Required
Confirmation Email