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Creative Trades Lab Application

In this section

Student's First Name

Student's Last Name

Street Address (example: 123 Storybook Lane)

Apt/Bldg/Unit

City

Zip Code

Email Address

Phone Number

Parent/Guardian Name

Parent/Guardian Email Address

What school do you attend?

Birthdate

mm/dd/yyyy

Student's Grade Level (for the upcoming school year)

10th11th12th

What is your GPA?

1.0 - 2.02.1 - 3.03.1 - 4.0

What is your gender?

MaleFemaleNon-binaryOtherPrefer not to say

Ethnicity (please select all that apply)

American Indian	Black/African American
Pacific Islander/Native Hawaiian	Southeast Asian
White	East Asian
Hispanic/Latino/Latina	South Asian
Middle Eastern/Arabic	Other/Prefer not to say

Annual Household Income Level?

Under $30,000$30,001 - $45,000$45,001 - $60,000$60,001 - $75,000Greater than $75,001

Citizenship/Resident Information

US CitizenPermanent ResidentOther

If Other, please specify:

Please answer the following essay questions to the best of your abilities in 1 paragraph.

What interests you about the Creative Trades Lab, and what do you hope to learn during this 3 week program?

This program requires full participation for 3 weeks. How will you ensure you attend and stay engaged?

How do you see skills in the trades connecting to your future goals?

Optional: Please list any awards, recognition, and/or involvement in special activities

Have questions? We're here to help! Call the Otis College Extension team between 8:30 a.m.–4:30 p.m. Monday through Friday.

Phone: 310-665-6850

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