BLUE RIVER CAREER PROGRAMS RETURNING STUDENT APPLICATION 2026-2027 SCHOOL YEAR Step 1 of 2 50% SECTION ONEStudent Legal Name :* First Middle Last 2025-2026 BRCP programSelect your current programAuto Collision RepairAuto ServicesConstruction TradesCriminal JusticeCulinary ArtsEducation ProfessionsElectrical TradesFire & RescueHealth Sciences C.N.A.Health Sciences CCMASocial & Community ServicesWelding TechnologyWork Based Learning (Coop)Student Phone Number :*Student Email :* Date of Birth :*Legal Gender :Select your sexFemaleMaleGraduation Year :*Choose your year202720282029Home School :*Select from listSHS – Shelbyville High SchoolTCHS – Triton Central High SchoolSWHS – Southwestern High SchoolMHS – Morristown Jr. Sr. High SchoolWHS – Waldron Jr. Sr. High SchoolMailing Address :* 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 Email Address :Mother's Phone Number :This field is hidden when viewing the formMother's Phone Number :Guardian Name :* First Last Guardian's Email Address :Guardian's Phone Number :Home Address (if different) : Street Address City ZIP Code Student Accommodations (504, IEP or ILP) Yes No Select Accommodations 504 IEP ILP SECTION TWOChoose your first and second program choices.First Choice ProgramSelect your current programAuto Collision RepairAuto ServicesConstruction TradesCriminal JusticeCulinary ArtsEducation ProfessionsElectrical TradesFire & RescueHealth Sciences C.N.A.Health Sciences CCMASocial & Community ServicesWelding TechnologyWork Based Learning (Coop)* 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* 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 AvailableSecond Choice ProgramSelect your current programAuto Collision RepairAuto ServicesConstruction TradesCriminal JusticeCulinary ArtsEducation ProfessionsElectrical TradesFire & RescueHealth Sciences C.N.A.Health Sciences CCMASocial & Community ServicesWelding TechnologyWork Based Learning (Coop)* 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* 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 AvailableThis field is hidden when viewing the formFirst Choice Program - old listSelect your first choiceAuto Collision RepairAutomotive ServicesConstruction TradesCriminal JusticeCulinary ArtsDiesel ServicesEducation ProfessionsFire & Rescue yr. 1Fire & Rescue/EMTEducation ProfessionsHealth Sciences Yr. 1/CNAHealth Sciences Capstone/CCMAHuman & Social ServicesWelding TechnologyWork Based LearningThis field is hidden when viewing the formSecond Choice Program - old listSelect your second choiceAuto Collision RepairAutomotive ServicesConstruction TradesCriminal JusticeCulinary ArtsDiesel ServicesEducation ProfessionsFire & Rescue yr. 1Fire & Rescue/EMTEducation ProfessionsHealth Sciences/CNAHealth Sciences/CCMAHuman & Social ServicesWelding TechnologyWork Based LearningFootnote 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) This field is hidden when viewing the formSECTION THREE - BRCP Student ServicesThis field is hidden when viewing the formSTN :This field is hidden when viewing the formBRCP PS ID :This field is hidden when viewing the form1st 9wk BRCP grade :This field is hidden when viewing the form2nd 9wk BRCP grade :This field is hidden when viewing the formBRCP Credits earned :This field is hidden when viewing the form# of days absent 1st semester :This field is hidden when viewing the formUnex :This field is hidden when viewing the formEx. :This field is hidden when viewing the formDiscipline Concerns (if any) :This field is hidden when viewing the formComments :This field is hidden when viewing the formStudent Services Signature :This field is hidden when viewing the formDate :This field is hidden when viewing the formSECTION FOUR - Home School CounselorThis field is hidden when viewing the formCurrent GPA :This field is hidden when viewing the form# of days absent year to date :This field is hidden when viewing the formCredits earned :This field is hidden when viewing the formSTN :This field is hidden when viewing the formDiploma Track :Sect your diploma trackCore 40Alternate DiplomaAcademic HonorsTechnical HonorsGeneralCert. of CompletionThis field is hidden when viewing the formIEP : Yes No This field is hidden when viewing the form504 : Yes No This field is hidden when viewing the formSAC/AtoE : Yes No This field is hidden when viewing the formIvy Tech Community College C number if applicable :This field is hidden when viewing the formPassed English GQE : Yes No Not taken This field is hidden when viewing the formPassed Algebra GQE : Yes No Not taken This field is hidden when viewing the formIs This Class Being Audited? : Yes No This field is hidden when viewing the formIf Yes : Semester 1 or Semester 2 or Both This field is hidden when viewing the formDiscipline Concerns (if any) :This field is hidden when viewing the formComments :This field is hidden when viewing the formCounselor’s Signature :This field is hidden when viewing the formDate:*This field is hidden when viewing the formSECTION FIVE - BRCPThis field is hidden when viewing the formBRCP Director: Approved : Yes No This field is hidden when viewing the formDirector’s Signature :This field is hidden when viewing the formDate :This field is hidden when viewing the formComments :
