COOP TECH APPLICATION PLEASE COMPLETE ALL REQUIRED INFORMATION Street .

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COOP TECH APPLICATIONPLEASE COMPLETE ALL REQUIRED INFORMATION –INCOMPLETE APPLICATIONS WILL NOT BE PROCESSEDFALL TERM 2022321 East 96th Street, New York, NY 10128Phone: 212-369-8800Fax: 212-876-9290www.co-optech.orgCoop Tech Application RequirementsGeneral Requirements:- Applicant must be 17-21 years old and meet one of the following criteria:o Currently in High School (11th or 12th grade)o Currently in a D79 Programo Already Graduated- Applicant must be an NYC Resident (reside in one of the 5 boroughs)- Parent/Guardian Signature (regardless of applicant age)High School/D79 Student Required Documentation:- Current Transcripto Must have a minimum of 20 credits- Current Report Cardo Applicant must be passing majority of current classes- Most recent IEP ( when applicable)- Guidance Counselor SignatureStudents Who Have Already Graduated (Post-Graduates) are Required toSubmit:- Copy of Diploma or High School Equivalency CertificateApplication Submission with Supporting DocumentationPlease submit all COMPLETED applications and supporting documentation in thefollowing ways:- Scanned and emailed to CoopAdmissions@schools.nyc.gov (Preferred)- Delivered or mailed to the main campus:The School of Cooperative Technical Education321 East 96th Street New York, NY 10128Attn: Aimee Mondschein, Guidance CounselorNotification:All students and guidance counselors will receive email notification regardingtheir application AFTER the submission deadline posted on www.co-optech.orgWould you like to tour Coop Tech? Please contact cooptour@coopteched.orgEffective 4/01/2022Fall 2022

COOP TECH APPLICATIONPLEASE COMPLETE ALL REQUIRED INFORMATION –INCOMPLETE APPLICATIONS WILL NOT BE PROCESSEDFALL TERM 2022321 East 96th Street, New York, NY 10128Phone: 212-369-8800Fax: 212-876-9290www.co-optech.orgImportant Application InformationAttendanceStudents who wish to attend Coop Tech need to be co-enrolled and attending their HS/D79program and Coop Tech course on a daily basis. In order to promote satisfactory attendance,both Coop Tech and students’ HS/D79 programs engage in parent/guardian outreach andregular school to school communicationMetro CardsCoop Tech does not issue Metro Cards. Metro cards (3-way) are to be issued by students’ highschools or D79 sites. Post-graduate students are not issued DOE Metro Cards.Special EducationCoop Tech is a career and technical education program that is open to students with andwithout disabilities. Classes are taught by certified CTE teachers and vary in size (classes arecapped at 28 students). As course demands, sequences and class sizes may vary, it is importantthat students work closely with their Guidance Counselor, Transition Coordinator, andParents/Guardians to choose courses that best match their interest and ability. High schoolsshould include conversations about Coop Tech in IEP meetings to ensure that the programstudents receive at Coop Tech is described appropriately and included in students’ IEPs.Students who are mandated to receive full-time 1:1 paraprofessional support are expected toattend Coop Tech with either (1) their assigned paraprofessional or (2) the high school mayelect to send another appropriately trained 1:1 paraprofessional with the student.IEP mandated special transportation and related accommodations must be arranged by highschools and are expected to accompany students to Coop Tech when needed.District 75District 75 applicants must be referred by their home school after careful consideration withparents/guardians, D75 staff, and students. District 75 registration procedures can be accessedvia the Transition Coordinator/Principal’s Designee at the D75 school. In addition to the generalapplication process, District 75 students must also submit the Articulation agreement with theapplication package. For more information about D75 enrollment, please contact TransitionCoordinator, Rodica Miller at RMiller27schools.nyc.gov.It is the policy of the Department of the City of New York to provide educational opportunitieswithout regard to race, color, religion, creed, national origin, alienage and citizenship status,age, marital status, disability, prior record of arrest or conviction (except as provided by law),sexual orientation, gender (sex), and to maintain an environment free of discriminatoryharassment, including sexual harassment, or retaliation as required by civil rights law.Effective 4/01/2022Fall 2022

COOP TECH APPLICATIONPLEASE COMPLETE ALL REQUIRED INFORMATION –INCOMPLETE APPLICATIONS WILL NOT BE PROCESSEDFALL TERM 2022321 East 96th Street, New York, NY 10128Phone: 212-369-8800Fax: 212-876-9290www.co-optech.orgApplicant Information (Please print or type clearly)LAST NAMEFIRST NAMECURRENT ADDRESS (STREET)APT #M.I.OSIS NUMBERCITYZIP CODEMM / DD / YYYYHOME NUMBERDATE OF BIRTH-STUDENT CELL NUMBERSTUDENT EMAIL ADDRESS (Gmail Preferred)Are you currently in: High SchoolD79 ProgramAlready GraduatedDate Graduated:Current High School or D79 Program:Have you ever attended Coop Tech? YesNoCourse Name: Date:Parent/Guardian InformationLAST NAMEFIRST NAMECURRENT ADDRESS (STREET)APT #RELATIONSHIP TO STUDENTCITYHOME NUMBERPREFERRED LANGUAGEZIP CODEPARENT/GUARDIAN CELL NUMBERPARENT EMAIL ADDRESSPARENT/GUARDIAN SIGNATURE*Parent/Guardian signature is not required in certain situations as per Chancellor’s Regulation A-101Emergency Contact(Must be someone other than parent/guardian & 21 or older)EMERGENCY CONTACT NAMERELATIONSHIP TO STUDENTEMERGENCY CONTACT NUMBEREffective 4/01/2022Fall 2022

COOP TECH APPLICATIONPLEASE COMPLETE ALL REQUIRED INFORMATION –INCOMPLETE APPLICATIONS WILL NOT BE PROCESSEDFALL TERM 2022321 East 96th Street, New York, NY 10128Phone: 212-369-8800Fax: 212-876-9290www.co-optech.orgCourse SelectionChoose your first and second course selections by indicating 1 and 2 next to the course title. DONOT use checkmarks or x’s. Courses are offered in the AM and PM sessions. Start/End times varybased on location. *Course offerings are subject to change*Session Preference:AM SessionPM SessionNo PreferenceBronx:Coop Tech @ Longwood Campus – 965 Longwood Ave, Bronx, NYElectrical InstallationIntro to Construction TradesMedical Billing & CodingNatural Hair StylingBrooklyn:Coop Tech @ Canarsie H.S. Campus, 1600 Rockaway Pkwy, Brooklyn, NYCarpentryCulinary ArtsManhattan:Coop Tech Main Campus @ 321 East 96th Street, New York, NYAdvertising & DesignArchitectural DraftingAutomotiveBarberingCarpentryCertified Nursing AssistantComputer NetworkingCulinary ArtsElectrical InstallationIntro to Construction TradesMedical Billing & CodingNatural Hair StylingPlumbingWeb DesignWeldingAudio and Video Production (AM Only)Vision Technology (AM Only)Coop Tech @ The Horan School, 55 East 120th Street, New York, NYCulinary ArtsQueens:Coop Tech @ Long Island City H.S., 14-30 Broadway, LIC, NYAutomotiveCarpentryCoop Tech @ Queens Transitional Center, 142-10 Linden Blvd, Queens, NYAdvertising & DesignAutomotiveBarberingIntroduction to Construction TradesStaten Island:Coop Tech @ Concord H.S., 109 Rhine Avenue, Staten Island, NYAdvertising & DesignEffective 4/01/2022Intro to Construction TradesNatural Hair StylingFall 2022

COOP TECH APPLICATIONPLEASE COMPLETE ALL REQUIRED INFORMATION –INCOMPLETE APPLICATIONS WILL NOT BE PROCESSEDFALL TERM 2022321 East 96th Street, New York, NY 10128Phone: 212-369-8800Fax: 212-876-9290www.co-optech.orgApplicant EssayPlease submit your written response to the following questions:What career path do you hope to achieve after completion of this course?How did you hear about Coop Tech?High School/D79 Program InformationThis section must be completed for all High School/D79 Programmed studentsHIGH SCHOOL/P2G/D79 PROGRAM NAME & LOCATIONGUIDANCE COUNSELOR EMAILGUIDANCE COUNSELOR NAMEGUIDANCE COUNSELOR NUMBER & EXTENSIONGUIDANCE COUNSELOR SIGNATUREDATENotification:All students and guidance counselors will receive email notification regarding their application AFTER thesubmission deadline posted on www.co-optech.orgEffective 4/01/2022Fall 2022

COOP TECH APPLICATION 321 East 96th Street, New York, NY 10128 Phone: 212-369-8800 Fax: 212-876-9290 www.co-optech.org . o Currently in High School (11th or 12th grade) o Currently in a D79 Program o Already Graduated - Applicant must be an NYC Resident (reside in one of the 5 boroughs) - Parent/Guardian Signature (regardless of applicant age)