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SCCTC
1901 Selma Road
Springfield, Ohio 45505
Tel: 937 325 7368
Fax: 937 325 7452
School Info: Michael Rice
Tel: 937 325 7368 x113

The Springfield-Clark Career Technology Center

SCCTC Career Interest Form


First & Last Name *
Address *
City *
State *	example: OH
Zip Code *
Phone Number *
Birth Date *	ex: mm/dd/yy
Email Address
Current High School *
Current Grade *
Gender *
Career Choice 1 *
Career Choice 2
Career Choice 3
Why are you considering Springfield-Clark CTC?
Enter the 6 characters (case insensitive) from the image above: The submitted form will be reviewed by Michael Rice. * Required fields to send form info. Please complete as many fields as possible.