St. Louis Community College

Career and Industry Track Program

Sign Up Form


Thank you for your interest in participating in an STLCC Industry Track program. Our Career and Industry Track (CIT) programs are designed to help you start working toward your career goals by identifying classes that will count toward a degree or prepare you for entry-level employment.


*By completing this form, you commit to participate in one of the following programs:


Choose from:

  • Embark- Bioscience
  • Nursing and Health Science Scholars
  • Precision Machining


To review program information and eligibility requirements visit our Career and Industry track webpage.


*A student may opt out of the program at any time by notifying the Office of Dual Credit/Enrollment Partnerships at hspathways@stlcc.edu.

 

Personal Information

 
 
 
 
mm/dd/yyyy
 

 

Contact Information

 

Please enter a phone number where you can be reached.

Phone
 

Please enter your personal email address.

 

 

High School Information

 

Please enter the high school you attend

 
 
 
 

Program of Interest

Please select the Career and Industry Track Program you are applying for.

 
 

Consent to Release Information

 

I consent to the following:


In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA) and to facilitate an open working relationship among students, the sponsoring school district, and the STLCC dual enrollment program, STLCC agrees to release student educational records as specified below.


I give permission for the following educational records to be released:

  • All academic/transcript records (transcripts, enrollment and schedule, assessment data)
  • Instructor/classroom records (attendance, progress reports, final grades)
  • Student account records (tuition and fees, financial aid and scholarship information, fines, etc.)
  • Behavior and conduct records


The persons and entities to receive the information specified above are:

  • Parent/Guardian
  • High School Counselor
  • High School Registrar


 

Please enter the name of your high school counselor.

 

Please enter your counselor's email address