Tioga High School
COE Application
Print Your Full
Name___________________________Date of Application___________
Home
Address______________________(Street)___________(City)___________ZIP
How old are you
now?___________Date of Birth__________
___ ___________
Social Security
Number______________________Cell Phone Number___________
Home
Phone______________________
Do you live at with your
parents?___________If not, what is the address where you can be
reached:_________________________________________________________________
Do you have your own
transportation___________
Mother’s Name _________________________________
Place of Employment _________________________________
Work Phone Number _________________________________
Father’s Name _________________________________
Place of Employment _________________________________
Work Phone Number _________________________________
Have you completed
Keyboarding and Keyboarding Applications?___________
What is your grade point
average?__________Have your ever been suspended?________
Are you currently
employed?______If yes, where?__________________Phone________
What REQUIRED courses do you need to take in the 12th
grade?
___________ ___________ ___________ ___________
What other courses do you
plan to take?
___________ ___________
Read the agreement and obtain required signatures.
I am willing to work in a clerical position for at least 15 hours per
week. I will abide by the school board policies as well as those of my
employer. I realize that I must also attend the COE class at Tioga High every
day.
_________________________________
_________________________________
Student Parent