2019 - 2020 Student Application

The below form must be completed all at once. Your work cannot be saved and stored for later. Please review the form entirely before you begin to be certain you have all relevant information.

Residential Address *
Residential Address
Mailing Address
Mailing Address
complete only if different than residential address
Phone *
Phone
Date of Birth *
Date of Birth
list the name of your parent or guardian responsible for completing the parent/guardian portion of your application
Parent/Guardian Residential Address
Parent/Guardian Residential Address
complete only if different than applicant
list the name of your present guidance counselor responsible for completing the counselor recommendation portion of your application
list the name of the teacher responsible for submitting your recommendation
list the name of the non-relative adult responsible for completing your recommendation
I understand if I am accepted, I will attend Nonnewaug High School to study Agriscience and Technology. I understand that while I am a student at Nonnewaug High School, I will obey the rules and regulations of the high school and Agriscience and Technology Department. If for some reason I do not chose to obey the rules and regulations, I will no longer be allowed to continue as a student in the Regional Agriscience and Technology program. In addition, if I do not live in Regional School District #14, I must return to my own town for my secondary education.
Signature Agreement *
Please list all extracurricular activities, clubs, organizations, sports and community involvement. Be sure to briefly describe involvement and include participation dates.
do not repeat a previous choice
do not repeat a previous choice
do not repeat a previous choice
do not repeat a previous choice
do not repeat a previous choice
do not repeat a previous choice
do not repeat a previous choice