PALM SPRINGS HIGH SCHOOL AVID APPLICATION
Student First Name
Your answer
Student Last Name
Your answer
Synergy Student ID Number:
Your answer
Current Age
Your answer
Current School of Attendance
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Which high school do you plan to attend?
DATE OF BIRTH
MM
/
DD
/
YYYY
Parent/Guardian Name
Your answer
Street Address
Your answer
City, Zip Code
Your answer
Home Phone
Your answer
Parent Cell Phone
Your answer
Student Cell Phone
Your answer
Parent Email Address
Your answer
Student Email Address
Your answer
Please list any activities you are involved in during this school year:
These can be at school or in the community.
Your answer
Please list any activities that you would like to be involved with next year:
These can be at school or in the community.
Your answer
What are your academic strengths?
What do you do that helps you succeed in your courses? Please be specific.
Your answer
In which academic areas do you need to improve?
What are some things or habits you want to change that would help you be more successful in your courses? Please be specific.
Your answer
How often do you study and in what environment?
Your answer
What do you like most about yourself?
Your answer
If adults, who know you well, were asked to describe you, what would they say and why?
Your answer
Why do you want to participate in the AVID program? What do you hope to gain from the AVID program?
Your answer
Current English Teacher-First and Last Name
Your answer
Current Mathematics Teacher-First and Last Name
Your answer
Has anyone in your immediate family (mother, father, sister, brother) attended or is currently attending college?
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