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2019-2020 Discovery Program Intent to Apply - Douglas County School District
Please complete this form for EACH student for whom you will be submitting an application for the Discovery Program.

Upon submission of this form, please complete all application materials (found on the DCSD Gifted Education Webpage) and follow the guidelines outlined therein.

This form and a complete application and portfolio must be submitted by November 16, 2018.

NOTE: DCSD makes every effort to ensure student data privacy. The district cannot guarantee the confidentiality of email communication from outside DCSD accounts. Submission of this form indicates your agreement to share the information contained via email. Please contact Christina Levesque at 303-387-0191 with any questions.

Email address *
Primary Point of Contact: Name (Last, First) *
Your answer
Primary Point of Contact: Phone Number *
Your answer
Primary address of Residence (Street) *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Secondary address (if applicable):
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
Student Middle Initial *
Your answer
Mother's Name (Last, First) *
Your answer
Father's Name (Last, First) *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Grade for the 2019-2020 School Year *
Student's Current Age *
Your answer
Student's Gender
Please list the names and grades of any siblings for whom you will request enrollment at the Discovery Program school site.
NOTE: Every effort is made to place siblings in the same school; however, this is not guaranteed or initiated through the Discovery Program Application Process. Should your child be placed in the Discovery Program, you will receive more information about sibling placement options.
Your answer
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