NCSD Summer Math Academy 2017 Application Form
The Summer Math Academy is open to all 5th, 6th, 7th and 8th grade students enrolled in the Nevada City School District during the 2016/2017 School Year.
June 12th - 23rd (Monday - Friday) - 8:30-11:30am
Located at Nevada City Charter School, 750 Hoover Lane
Student Name
Last, First Middle Initial.
Your answer
Student Grade Level
Grade level during 2015/2016 school year
Your answer
Math Course Taken During the 2016/2017 School Year
Your answer
Current Math Teacher for the 2016/2017School Year
Your answer
Mathematical areas of concern or area to focus on
Please describe any areas of concern or specific mathematical skills that you wish your child to focus on during the summer math academy.
Your answer
Student Age
Your answer
Student Birth Date
Your answer
School Attended
School attended during 2015/2016 school year
Your answer
Current Address
Street, City, State, Zip Code
Your answer
Parent/Guardian Name (1)
Last, First Middle Initial.
Your answer
Relationship to Student
Address
If different than student
Your answer
Phone Number
Home
Your answer
Parent/Guardian Signature
Your answer
By checking this box, I am indicating that I wish my child to participate in the NCSD Summer Math Academy.
Submit
Never submit passwords through Google Forms.
This form was created inside of Nevada City School District. Report Abuse - Terms of Service - Additional Terms