SkillsUSA Application

Application Deadline - July 1, 2014

Please complete information the below. Once you submit your information, you will be directed to payment page.
* Denotes required information.

I. Personal Information:

Participant Name * First Name
Middle Name
* Last Name
* Birthdate EX. mm/dd/yyyy
* Phone Number
* Email

Home Address

* Street Address
  * City
* State
* Zip

II. Parent/Guardian Information:

All applicants under 18 years of age are required to complete the Parent/Guardian information.

Parent/Guardian Name First Name
Middle Name
Last Name

Parent/Guardian Address

Street Address



Phone Number

III. High School Information:

* High School
* High School Phone Number
Counselor Name First Name
Last Name
Year of High School Graduation
* Most Recent Cumulative GPA

High School activities, community activities, volunteer work, honors, offices held:

IV. Courses for Credit:

* Please choose the one area of competition

V. Cost

The cost for each credit (1 credit) is $85.00. Upon submission of your application, you will be directed to a page for payment.

VI. Extras:

Do you plan to attend college or a trade school?

VIII. Application E-Signature

By signing your legal name in the space below, you certify that the information provided is correct and true to the best of your knowledge and that the applicant is the person completing this application.

* E-Signature:

Upon submission of your information, below, you will be directed to pay for the credit hour you have selected. Once payment is processed, you will receive an e-mail confirmation that your application and payment have been received. Please print and retain your confirmation for application verification.

Park University is committed to equal opportunity in employment and education. The university does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.