11-HDS TCD 2026-2027 Registration Form

11-HDS Hinsdale South

Additional School - Please leave blank if you attend the school listed above.

To be used only if you attend a school other than the one listed above (example: private school students should note the private school they attend here).

Home School Student ID Number*

This is your school ID number.

Student's Legal First and Last Names*

First NameLast Name

FemaleMaleNon Binary

Date of Birth*

Student's School Email Address*

Please use your school email address.

Student's Cell Phone Number for Emergency Alerts

Area CodePhone Number

Student's Home/Mailing Address*

Street Address (including Apt/Unit #)

Street Address Line 2

CityState

Zip Code

Student's T-Shirt Size*

Used for program and event t-shirts

Languages spoken at home*

TCD programs offer dual credit opportunities for students who qualify and maintain required grades and attendance. Students who do not maintain the required grades or exceed the number of days absent allowed for their program will be dropped from dual credit. Students will remain enrolled in TCD but will receive high school credit only.

YesNo

Current TCD program:*

First Program Choice*

Please note: TCD will place you in your first choice if possible. Due to space limitations, TCD may not be able to make changes to your choices after March 6, 2026.

Second Program Choice*

This selection should be DIFFERENT from your first choice. Students who do not select a different second program may not be registered for TCD if their first choice is not available.

Third Program Choice*

This selection should be DIFFERENT from your first two choices. Students who do not select a different third program may not be registered for TCD if their first two choices are not available.

TCD's Cosmetology program is for students interested in pursuing pathways from hair design/cutting and color to skincare, makeup, and an IL Cosmetology license for those students who qualify. While we are actively exploring the possibility of offering barbering, nail technology, and esthetics in the future, we do not currently offer the curriculum required to obtain these licenses.

TCD's Cosmetology program charges fees for students' cosmetology tools kits and the summer school session in addition to the TCD student participation fee.

Cosmetology students are required to maintain a 75% in both academics and attendance per the Illinois Department of Financial & Professional Regulation.

Cosmetology students who do not meet IDFPR requirements at the end of the 1st semester will not be able to return for 2nd semester per IDFPR regulations.

Students are required to attend the 8 week summer session after their 1st year in order to meet the hours and curriculum requirements to attend the 2nd year program. Students who do not meet these requirements will not be able to return for a 2nd year.

Extra hours opportunities are available however the Technology Center of DuPage cannot guarantee students participating in Cosmetology will obtain 1500 hours during the two year program.

The Cosmetology program requires students to have a valid social security number in order to register for the IL Licensed Cosmetologist exam after completing two years of TCD's program.

Cosmetology students are required to wear a uniform in order to receive their daily hours.

Shirts and pants sizes are extra small to 5XL.
Pants come in petite (under 5 ft tall), regular, and tall (over 5 feet, 10 inches tall).

Cosmetology Uniform Shirt Size

Cosmetology Uniform Pants Size

Cosmetology Uniform Pants Length

The Nursing Assistant Training Program at TCD requires students:

To be at least 16 years old by August 28, 2026.
Have a valid social security number by August 28, 2026.
Have a valid state issued ID by August 28, 2026.
Students will need to submit a completed 7 or more panel urine drug screen test by August 28, 2026 in order to be eligible for clinicals.
Will need to have a completed physical exam dated January 1, 2026 onward.
Will need to have a 2 step TB skin test or QuantiFERON Gold blood draw by AUgust 28, 2026.
Have their own transportation to and from clinical sites.

An explanation of these requirements and necessary forms can be found at https://www.tcdupage.org/apps/pages/NATP_Forms.

YesNo

Students are required to be seniors to enroll in TCD's Medical Assisting program.

Please select a different program.

The Emergency Medical Technician program requires students to be high school seniors, be current with all required vaccinations & other health requirements, have healthcare coverage, and pass a mandatory background check and drug screen.

A valid social security number is required to take the National Registry of EMTs (NREMT) exam.

YesNo

Students are required to be seniors to enroll in TCD's Emergency Medical Technician program.

Please select a different program.

Allergies - Please leave blank if student does not have allergies.

Medical Condition(s)- Please leave blank if student does not have any medical conditions.

Medication(s)- Please leave blank if student does not take medication.

Primary Parent/Guardian Contact Information

This should be the parent/guardian the student lives with and who should be contacted FIRST in case of emergency.

Parent/Guardian Full Name*

First NameLast Name

Parent/Guardian Relationship to Student*

Primary Phone Number*

Area CodePhone Number

Additional Phone Number

Area CodePhone Number

Parent/Guardian Email Address*

TCD uses email as a primary means of communication. Please provide a current email address.

Parent/Guardian Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code

YesNo

Secondary Parent/Guardian Contact Information

This is a parent/guardian who should be contacted SECOND in case of an emergency.

Parent/Guardian Full Name

First NameLast Name

Parent/Guardian Relationship to Student

Primary Phone Number

Area CodePhone Number

Parent/Guardian Email Address

TCD uses email as a primary means of communication. Please provide a current email address.

Parent/Guardian Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code

Parent/Guardian Preferred Language

YesNo

Emergency Contact Full Name

First NameLast Name

Emergency Contact Relationship to Student

Emergency Contact Phone Number

Area CodePhone Number

YesNo

Emergency Contact Full Name

First NameLast Name

Emergency Contact Relationship to Student

Emergency Contact Phone Number

Area CodePhone Number

Why are you interested in attending TCD and how will the program you chose help you achieve your future career goals (please be specific)?*

Reflect on you high school experience, including grades, attendance, and work habits. Explain how these have prepared you to be successful at TCD.*

Media Release

I hereby acknowledge and grant permission for representatives of Technology Center of DuPage and its governing body (DuPage Area Occupational Education System or DAOES) to use my student's image, voice, and/or identification information for educational, informational, or promotional purposes. This may include release to the news media, posting on the TCD/DAOES websites or World Wide Web, or use in TCD/DAOES publications, presentations, or displays.

Images may include video recordings, photographs, digital images, negatives, or prints. Voice may include audio-video recordings, quotes, or testimonials. Identification information may include my name, hometown, high school, TCD program, grade level, honors/awards, or activities related to my TCD program.

I grant TCD permission to use my student's image, voice, and/or identification information for educational, informational, or promotional purposes.I DO NOT grant TCD permission to use my student's image, voice, and/or identification information for educational, informational, or promotional purposes.

Directory Information Release

The primary purpose of directory information is to allow Technology Center of DuPage to include information from your child's education records in certain publications. This information can include: student name, mailing address, telephone listing, photograph, and/or grade level. The telephone listing will be used ONLY for student follow-up study.

Notice for Directory Information
The Family Educational Rights and Privacy Act (FERPA), a federal law, requires that
Technology Center of DuPage, with certain exceptions, obtain a parent’s/guardian’s
written consent prior to the disclosure of personally identifiable information from your child’s education records. However, Technology Center of DuPage may disclose
appropriately designated “directory information” without written consent, unless you have advised the school to the contrary. The primary purpose of directory information is to allow Technology Center of DuPage to include this type of information from your child’s education records in certain publications.

I allow TCD to disclose directory information about my student.I DO NOT allow TCD to disclose directory information about my student.

Student Internet Acceptable Use Policy Agreement

My agreement below means that I have read, understand, and agree to follow the guidelines as stated in the TCD Internet Use Policy of the Student/Parent Handbook.

Yes

Student/Parent Handbook Agreement

Please read TCD's Student/Parent Handbook. Rules/regulations are subject to change without notice.

Parent/Guardian Electronic Signature

The electronic signature and all of its related fields replace a handwritten signature on paper and is legally binding.

TCD fees are separate and in addition to any fees charged by your student's school and must be paid directly to TCD. Fees are subject to change. By signing below you are agreeing to pay TCD's fees for your student to attend here.

This electronic signature as its related fields are treated like a handwritten signature on a paper form.

Parent/Guardian - I affirm that the information provided is true, correct, and complete to the best of my knowledge and belief.*

Parent/guardian - please type your name in the box above as your electronic signature.

Counselor Verification Code:

Counselors, please use the verification code that was sent to you.

TCD 2026-2027 Registration Form

This form must be completed by students with their parent(s)/guardian(s).

Student Demographic Information

TCD Program Selection

Student Medical Information

Parent/Guardian Contact Information

Emergency Contacts

Student Questions

Student & Parent/Guardian Agreements

Counselor Section