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On-Line Application

If you are interested in inquiring about classes through the CEP/CCA charter school to begin your journey to obtain your high school diploma, please fill out the information below. An administrator will contact you to provide class schedules and course offerings. For further information, please feel free to contact us or send us an email.

	Name
	Address
	City/State zip code
	Telephone #
	email address
	What grade level did you complete last? (choose one)		below 6th 7th grade 8th grade 9th grade 10th grade 11th grade
	What year did you last attend high school?
	Are you attending any type of training at this time?		yes no
	Comments:

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