You are on page 1of 2

Lorenzo Walker Technical High School

Admissions Committee
3702 Estey Avenue
Naples, FL 34104-4498
(239)377-3302
(239)377-1006 FAX

Lorenzo Walker Technical High School


Application for Admission

Directions for Application:

Complete all sections on the application; Applicant and Parent/Guardian must sign the application.
Return the application, along with a copy of your most recent report card, to the address listed above.
Students who are not currently enrolled in Collier County Public Schools must complete the CCPS
Student Enrollment Form and submit it along with the application; this form will not be processed
unless the student is accepted to the program and elects to attend.
Regular application deadline is January 16.
All on-time applicants will be notified of their status no later than February 15.
Late applications are accepted on a space-available basis only.

PART ONE: To be completed by the student

Name: ___________________________________________________________________________
Last First M.I.

Address: __________________________________________________________________________
Number Street City/Town Zip

Date of Birth: ________________________ Current Grade Level: ________________

Collier Student ID number: _______________________________________________

Student Email Address: _______________________________________________

Current School: _____________________________________________________________

Zoned High School: _________________________________________________________

Parent/Guardian Name: _______________________________________________________


Circle Relationship: Mother / Father / Guardian

Telephone Number: ___________________________________________________________


Home Work

Parent Email Address: _______________________________________________

How did you hear about the Lorenzo Walker Technical High School? (check all that apply)

______ Middle School Presentation ______ News Media


______ Middle School Counselor/Teacher ______ Website
______ LWIT Employee ______ Career Fair
______ Friend or Family Member ______ Other (please specify):
______ Current LWIT student _____________________________

- continued on reverse -
Programs of Study Available In:

Business Education
Computer Education
Multimedia Design
Architecture and Engineering Please list your top three areas of interest:
Health Sciences (please print clearly)
Transportation and Industry First Choice: _______________________
Second Choice: _____________________
Culinary Arts
Third Choice: ______________________
Cosmetology
Teacher Education

PART TWO: To be signed by student and parent/guardian

I/we request that the student be considered for admission to the Lorenzo Walker Technical High School. I/we
understand that the rigorous academic nature of the program requires all students who enroll to pursue a college-
preparatory set of academic courses, combined with a career-preparatory program. I/we further understand that
students whose academic records indicate areas of difficulty in reading or mathematics may need to attend summer
preparatory sessions in order to be eligible to attend. We understand that notification of acceptance status will be
provided by February 15, and is conditioned upon successful completion of the current school year.

Student Signature: __________________________________________ Date: ____________________

Parent Signature: __________________________________________ Date: ____________________

* REMEMBER TO ATTACH A COPY OF YOUR MOST RECENT REPORT CARD *

* STUDENTS NOT CURRENTLY ENROLLED IN CCPS MUST ALSO ATTACH A


COMPLETED COPY OF THE CCPS STUDENT ENROLLMENT FORM *

* Return completed application to the address listed on reverse *

* Regular admissions deadline is January 16 *

* Apply after January 16 for admission based upon space availability *

COLLIER COUNTY CHARACTER EDUCATION TRAITS


Citizenship Cooperation Honesty Kindness Patriotism Perseverance
Respect Responsibility Self-Control Tolerance

THE COLLIER COUNTY PUBLIC SCHOOL SYSTEM IS AN EQUAL ACCESS / EQUAL OPPORTUNITY
INSTITUTION FOR EDUCATION AND EMPLOYMENT

You might also like