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Antelope Valley Regional Occupational Program
Online Registration Form
Today's Date:
Student Status:
High School Student | Adult | CalWorks
Student's Last Name: First Name: Middle Initial:
Gender:
Male
Female		 Student ID:
High School Student ID:
Birth Date: Month Day: Year:
Note: You must be 16 years old in order to attend the ROP.		 Native Language:
English Spanish Other:

Ethnicity:









Street Address:
City:
Zip:
E-Mail Address:
Home Phone: Alternative Phone:
In Case of Emergency Call:
Name:
Phone Number:
Relationship: 		High School Site:

If High School Student, next semester grade level:
11th 12th 		Term Enrolling For: Spring Summer Fall
Year: 2004
I am interested in a career in: How did you hear about the ROP?
I am 16 or older: Yes No I have a valid school ID Yes No

I have reliable transportation to and from my ROP class and / or internship site Yes No 		I understand the ROP Attendance Policy Yes No
I understand that class times / intership times may vary Yes No I understand that classes can only be added during specified registration period Yes No
* Some classes require an application process and / or interviews for acceptance into class.
* Certificates will be given to students who have maintained a grade of B- or better.
* If photographs are taken of me in my ROP class, I give permission to use them if needed for future ROP publications
* Seating priority is given to AVUHSD students, then to high school students in the geographical area, then to adults.		 High School Students Only:
* Unexcused absences / tardies will be reported to your home school site.
* Some classes require material fees.
* Private and Charter school students must pay textbooks deposits.
* Students will receive a "W" on their transcript if they drop an ROP course after the first 3 weeks of the course.
Course Name:
Course Number:
Time:
Days:
Site Location:
HS Semester Credits
Other Fees
Adult Registration Fees
Payment Confirmed by Staff