BLUE RIVER CAREER PROGRAMS NEW STUDENT APPLICATION 2026-2027 SCHOOL YEAR – Blue River Career Programs

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BLUE RIVER CAREER PROGRAMS NEW STUDENT APPLICATION 2026-2027 SCHOOL YEAR

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SECTION ONE
Student Legal Name :*
First Middle Last
Student Phone Number :*
Student Email :*
Date of Birth :*
Legal Gender :
Grad Year :*
Home School :*
Student Mailing Address :*
Street Address City ZIP Code
Legal Guardian
- Father
- Mother
- Parents
- Guardian
Father Name :*
First Last
Father's Phone Number :*
Father's Email Address :*
Mother Name :*
First Last
Mother's Phone Number :*
Mother's Email Address :*
Guardian Name :*
First Last
Guardian's Phone Number :*
Guardian's Email Address :*
Parent/Guardian Home Address (if different) :
Street Address City ZIP Code
Student Accommodations (IEP, ILP, or 504)
- Yes
- No
Select Accommodations
- IEP
- ILP
- 504

SECTION TWO
Choose your first and second program choices.
First Choice Program
Please choose your first type of program from the dropdown menu.
* Dual College Credit May Be Available
* Dual College Credit May Be Available
* Dual College Credit May Be Available
* Dual College Credit May Be Available
* Dual College Credit May Be Available
● - Minimum Age Requirement (17 by May 2027)
* Dual College Credit May Be Available
* Dual College Credit May Be Available
# ^ - Minimum Age Requirement (16 by May 2027) With Criminal History Report Required
# ^ - Minimum Age Requirement (17 by May 2027) With Criminal History Report Required
* Dual College Credit May Be Available
* Dual College Credit May Be Available
Second Choice Program
Please choose your first type of program from the dropdown menu.
* Dual College Credit May Be Available
* Dual College Credit May Be Available
* Dual College Credit May Be Available
* Dual College Credit May Be Available
* Dual College Credit May Be Available
● - Minimum Age Requirement (17 by May 2027)
* Dual College Credit May Be Available
* Dual College Credit May Be Available
# ^ - Minimum Age Requirement (16 by May 2027) With Criminal History Report Required
# ^ - Minimum Age Requirement (17 by May 2027) With Criminal History Report Required
* Dual College Credit May Be Available
* Dual College Credit May Be Available
SECTION THREE - Student
• Briefly describe why you want to take a career program class :*
• List classes you have taken in high school and work experiences which relate to your career program choice :*
• Do you have any health problems or physical limitations that Blue River Career Programs should be aware of or may require special accommodations?*
- No
- Yes
• Please describe :*
SECTION FOUR - Home School Counselor
Student Legal Name :*
First Last
Current GPA :
Credits earned :
STN :
# of days absent year to date :
Diploma Track :
Please diploma track from the dropdown menu.
IEP :
- Yes
- No
504 :
- Yes
- No
SAC/AtoE :
- Yes
- No
Ivy Tech Community College C number if applicable :
Passed English GQE :
- Yes
- No
Passed Algebra GQE :
- Yes
- No
Is This Class Being Audited? :
- Yes
- No
If Yes :
- Semester 1
- or Semester 2
- or Both
Discipline Concerns (if any) :
Comments :
Counselor’s Signature :
Date:*
SECTION FIVE - BRCP
BRCP Director: Approved :
- Yes
- No
Director’s Signature :
Date :
Comments :
CONSENT TO RELEASE*
✔ I AGREE to release information regarding my enrollment (emancipated student) or my student’s enrollment in a career or technical education course to potential employers that contact the school to recruit students with particular career and technical skills. The school shall also provide enrollment information to the Department of Workforce Development (DWD) through the InTERS reporting system. The DWD may provide the enrollment information to potential employers that contact the DWD to recruit students with particular career and technical education skills.
- Yes
- No
I understand the information may be released orally or in the form of copies of written enrollment information, when preferred by the requester. I have a right to inspect any written information released pursuant to this Consent. I understand I may revoke this Consent upon providing written notice to the Governor's Workforce Cabinet's Office of Career and Technical Education by emailling CTE@gov.IN.gov. I further understand that until this revocation is made, this consent shall remain in effect and my enrollment information will continue to be provided as detailed in this Consent.
Do you want consent to refuse?*
- Yes
- No

BLUE RIVER CAREER PROGRAMS NEW STUDENT APPLICATION 2026-2027 SCHOOL YEAR
BLUE RIVER CAREER PROGRAMS RETURNING STUDENT APPLICATION 2026-2027 SCHOOL YEAR
Blue River Registration
BRCP Senior Exit Survey
Field Trip Request