College Now Application

Returning Students Application

All fields marked with * are required

Student Information

Choose whether you are returning student to College Now or other College Now Program :^*

Returning Student from College Now at City Tech

Returning Student from other College Now program

I have an Individualized Educational Plan (IEP) or 504 Plan^*

Yes

I am an English Language Learner (ELL)^*

Yes

Student:

Last Name^*

First Name^*

High School OSIS#:^*

Email^*

Phone^* ^{(eg. 1234567890)}

Parent / Guardian:

Last Name^*

First Name^*

Email^*

Phone^* ^{(eg. 1234567890)}

Current Address:

Address Line #1 ^*

^{(e.g. 300 Jay St.)}

Address Line #2

^{(e.g. Floor 1)}

City ^*

^{(e.g. Brooklyn)}

State ^*

^{(e.g. NY)}

ZIP ^*

^{(e.g. 11201)}

What grade are you currently in?^*

What High School do you attend?^*

Course Interest

Please list, in order of preference, the top three course(s) you wish to complete as a College Now student at City Tech. Search for available courses for Fall and Summer.

Important! Some courses may not be available and/or may require prerequisite coursework prior to enrollment. Listing your course interest here does not automatically register you for the course(s).

1. Course Name & Number^*

2. Course Name & Number^*

3. Course Name & Number^*