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MAJOR CHOICE APPLICATION

TO BE COMPLETED BY STUDENT’S PARENT /GUARDIAN

GENERAL INFORMATION
Parent's Name:
Parent's Email:
Best Phone Number to Reach Parent: 
Student's Name:
Student's Age:
Student's Email (Preferably Gmail):
School:
City / State
Referred By:
STUDENT INFORMATION

Current Status of the Student?

Anticipated Date of High School Graduation?

Have They Chosen an Educational Path?

Referring Agency:

Agency Location (City, ST):

Agency Contact:

Guidance Counselor / Case Manager Email:

ENROLLMENT CRITERIA

To ensure the student can fully participate in and benefit from this program, we need to understand their current abilities related to these requirements:

1. Does the student understand the need for and seem genuinely interested in figuring out what path to take?

2. Can the student commit to spending at least 1.5 hours per week on coursework, plus attend online meetings with a mentor?  

3. Can the student think about their own traits, values, interests and how those relate to possible careers?

4. Can the student use basic online tools and conduct research?

5. Can the student accept feedback, make changes based on that, and speak up for their needs with the mentor?

PARENT / GUARDIAN

Please let us know if there's any additional information you believe is important for us to know. 

Numerous programs available to fit any budget. Voucher programs and sponsorships options also available. 

Major Choice is a partner with the New Hampshire Department of Education, Vocational Rehabilitation. 

To register and check your eligibility with the NH Vocational Rehabilitation - Download the form below.
Please submit to your nearest NH Vocational Rehabilitation Office. For a list of offices, click here.

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