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Portland Arts & Technology High School

Apply Online

Thank you for your interest in Portland Arts & Technology High School. We appreciate you taking the time to contact us.

By submitting this form, you are expressing your interest in attending Portland Arts & Technology High School as a student.

Next steps:

After we receive this form, we will contact you in 2-4 weeks with more information.
Please read our admissions information before you consider applying.

About You

* = Required

* Name:

First	Middle initial
Last

* Gender:

Male Female

* Date of Birth:

* Email:

* Parent's Email:

* Phone:

Mobile Phone:

* Parent's Mobile Phone:

* Address:


(Optional)
City	State	Zip

* Current School:

I am homeschooled or not currently in school.

* Year of Graduation:

* Guidance Counselor:

* Parent Contact Info:

Mother's name

Mother's phone number

Father's name

Father's phone number

Guardian's name

Guardian's phone number

Academics

* Please select the programs you are interested in:
First choice
Second choice
* Tell us why you are interested in Portland Arts & Technology High School:

* How did you hear about Portland Arts & Technology High School:
From a guidance counselor From a teacher From a school staff memeber From a friend From a parent Other:
* What are your plans after graduation?

Do you have any other comments or feedback? (Optional)

Keeping In Touch

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196 Allen Avenue • Portland, ME 04103 • Phone: (207) 874-8165 • Fax: (207) 874-8170

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