BLUE RIVER CAREER PROGRAMS RETURNING STUDENT APPLICATION 2025-2026 SCHOOL YEAR – Blue River Career Programs

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BLUE RIVER CAREER PROGRAMS RETURNING STUDENT APPLICATION 2025-2026 SCHOOL YEAR

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

SECTION TWO
Choose your first and second program choices.
Current Program
First Choice Program
Second Choice Program
Footnote Key :
- * Dual College Credit May Be Available
- ^ Criminal History Report Required
- ● Minimum Age Requirement (17 by May 2025)
- ♢ Seniors Only
- ∆ Minimum GPA 2.5
- # Minimum Age Requirement (16 by May 2026)
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SECTION THREE - BRCP Student Services
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STN :
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BRCP PS ID :
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1st 9wk BRCP grade :
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2nd 9wk BRCP grade :
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BRCP Credits earned :
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# of days absent 1st semester :
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Unex :
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Ex. :
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Discipline Concerns (if any) :
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Comments :
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Student Services Signature :
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Date :
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SECTION FOUR - Home School Counselor
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Current GPA :
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# of days absent year to date :
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Credits earned :
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STN :
Diploma Track :
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IEP :
- Yes
- No
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504 :
- Yes
- No
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SAC/AtoE :
- Yes
- No
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Ivy Tech Community College C number if applicable :
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Passed English GQE :
- Yes
- No
- Not taken
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Passed Algebra GQE :
- Yes
- No
- Not taken
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Is This Class Being Audited? :
- Yes
- No
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If Yes :
- Semester 1
- or Semester 2
- or Both
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Discipline Concerns (if any) :
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Comments :
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Counselor’s Signature :
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Date:*
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SECTION FIVE - BRCP
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BRCP Director: Approved :
- Yes
- No
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Director’s Signature :
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Date :
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Comments :

BLUE RIVER CAREER PROGRAMS NEW STUDENT APPLICATION 2025-2026 SCHOOL YEAR
BLUE RIVER CAREER PROGRAMS RETURNING STUDENT APPLICATION 2025-2026 SCHOOL YEAR
Blue River Registration
BRCP Senior Exit Survey
Field Trip Request