Adult Application

First Name

Last Name

Email

Phone

Street Address

Street Address Line 2

City

State

Zip Code

Gender

Date of Birth

Select which of the following applies.

High School Diploma

GED

Have you taken the TABE test?

Yes

No

Emergency Contact

Emergency Contact Phone

Select a Program of Study

Cosmetology

Practical Nursing

Phlebotomy

Truck Driving Academy

Welding

Other

If Other, Please List.

Personal Reference #1

Personal Reference #2

Phone

Thank you! We’ll be in touch.

Our Offerings

Cosmetology

Phlebotomy

Practical Assisting

Truck Driving

High School

Adult

Welding

Title IX ADA 504 Notice
Boone Career & Technical Center (BCTC) does not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, disability, age, or marital status in any of its policies, procedures or practices as required by Title IX, Section 504, and ADA regulations. For inquiries concerning Title IX, please contact the BCS Safe Schools Director Anthony Tagliente at 304-369-8276 or ataglient@k12.wv.us. For inquiries concerning 504/ADA, please contact the Director of Exceptional Children Mary Knapp, at 304-369-8245 or mknapp@k12.wv.us. Inquiries may also be submitted in writing to the following Director’s at Boone County Schools 69 Avenue B Madison, WV 25130.

Boone Career and Technical Center

3505 Daniel Boone Pkwy. | Foster, West Virginia 25081

Office: 304.369.4585 | Fax: 304.369.3692

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