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Title IX and Annual Public Notice of Non-Discrimination
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Southwest Technical Education District of Yuma
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STEDY Admission Application
Applicants must complete all admission documentation for STEDY program acceptance.
This form requires Javascript to be enabled for submission and authorization.
*
Required
Name
*
required
First Name
Middle (optional)
Last Name
Date of Birth
*
required
Must contain a date in M/D/YYYY format
Physical Address
*
required
City:
*
required
State
*
required
Zip
*
required
Must contain only numbers
Mailing Address (if different)
Student Phone Number
*
required
Must contain only numbers
Student Lives With
Gender
*
required
Must contain only letters
Race
*
required
Student Personal E-Mail
*
required
Student School E-Mail
Current Grade Level
*
required
Must contain only numbers
Cohort
Must contain only numbers
High School ID#
Must contain only numbers
High School Counselor
Student SAIS Number
Must contain only numbers
Home High School
*
required
Antelope High School
Cibola High School
Gila Ridge High School
Kofa High School
San Luis High School
Vista High School
Yuma High School
Online School
Private/Charter School
Homeschooled
Are you currently an Empowerment Scholarship Account (ESA) recipient?
*
required
Yes
No
Program
*
required
Logistics and Supply Chain Management
Organizational Leadership
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Transcript
*
required
Attach up to 1 file with a maximum size of 10MB
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Allowed file types: Document, pdf
How did you hear about STEDY?
*
required
STEDY Letter
School Counselor
Teacher
Friend
STEDY Presentation
Social Media
STEDY Flyer
Other
T-Shirt Size
*
required
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Parent/Legal Guardian Name:
*
required
Parent/Legal Guardian E-Mail
*
required
Phone Number:
*
required
Mailing Address (if different)
Parent/Legal Guardian Electronic Signature
*
required
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