Clarenceville GSRP Application
Please complete the following form to apply for a spot in Clarenceville GSRP for the 2018-2019 school year. We will be contacting you to set up an initial interview. Those interviews will begin in June. We will notify you in August if your child met the requirements and was accepted into the program.

Students who have a birthday BEFORE September 1, 2014 will be given priority acceptance into our program. However, students can apply as long as their birthday is BEFORE December 1, 2014.

Please note that this is an application for both Clarenceville GSRP programs, both at Botsford Elementary

Child's Name *
First and last name
Your answer
Parent or Guardians' Names *
Your answer
Child's Address *
Your answer
Phone number (Please type as xxx-xxx-xxxx) *
Your answer
Email address of parent
Your answer
Child's Birthday *
Your answer
Number of People living in the house *
Your answer
Number of People working *
Your answer
Estimate of Income of the household (please specify if weekly, biweekly, monthly, or annually) *
Your answer
Submit
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