PIM Co-Op Pre-Enrollment Part 1 2024

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Use this multiple page form to apply for PIM-Co-Op at FMHS. Your responses will be reviewed by the teacher to ensure you meet the requirements for the course and to contact you to ensure you understand the course. You do not have to complete this application to enroll but will be asked to complete it before the course roster is finalized.

Student ID # *

First Name *

Last Name *

Street Address *

City *

Zip *

E-mail Adress *

Grade Level *

next school year

Age *

Gender

Clear selection

Student Cell Phone Number *

Cell Phone Provider *

Do you have a driver's license?

Yes

What semesters are you enrolling for? *

Full year is recommended for the course but single semester enrollment will be granted upon availability.

Fall

Spring

Full year

If you are a senior, are you graduating early?

Yes

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