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 :Mother'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 AvailableFirst 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 LearningSecond 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) SECTION THREE - BRCP Student ServicesSTN :BRCP PS ID :1st 9wk BRCP grade :2nd 9wk BRCP grade :BRCP Credits earned :# of days absent 1st semester :Unex :Ex. :Discipline Concerns (if any) :Comments :Student Services Signature :Date :SECTION FOUR - Home School CounselorCurrent GPA :# of days absent year to date :Credits earned :STN :Diploma Track :Sect your diploma trackCore 40Alternate DiplomaAcademic HonorsTechnical HonorsGeneralCert. of CompletionIEP : Yes No 504 : Yes No SAC/AtoE : Yes No Ivy Tech Community College C number if applicable :Passed English GQE : Yes No Not taken Passed Algebra GQE : Yes No Not taken 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 - BRCPBRCP Director: Approved : Yes No Director’s Signature :Date :Comments :
