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Application for Admission
Thank you for your interest in Avenue Scholars!

Our mission is to ensure careers for committed students through education/training and supportive relationships.

Application Guidelines:
     • All questions must be answered fully
     • If a question does not apply to you or your family, please write ‘N/A’.
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Email *
Legal FIRST Name (as shown on school documents) *
Middle Name (if none, answer N/A) *
Legal LAST Name (as shown on school documents) *
Preferred Name (what name do you ask people to call you)
Name of current school: *
What is your school ID Number? *
Who is your homeroom teacher or classroom number? 
(For example: Advisement, Pride Time, Mustang Time, WIN)
 *
Current Grade Level *
Home Address (If apartment, please add number) *
City *
State *
ZIP Code *
Cell Phone Number (if none, answer N/A) *
Please format your answer with no parentheses and dashes between sections for example:  402-555-5555 
Home Phone Number (if none, answer N/A) *
Please format your answer with no parentheses and dashes between sections for example:  402-555-5555 
Personal Email Address (if none, answer N/A) *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Shirt Size (we provide shirts to all selected participants) *
Parent/Guardian #1 FIRST Name *
Parent/Guardian #1 LAST Name *
How is this person related to you? *
Parent/Guardian #1 Home Phone Number (if none, answer N/A) *
Parent/Guardian #1 Cell Phone Number (if none, answer N/A) *
Parent/Guardian #1 Email Address that is associated with your school records (if none, answer N/A) *
Parent/Guardian #2 FIRST Name
Parent/Guardian #2 LAST Name
How is this person related to you?
Parent/Guardian #2 Cell Phone Number (if none, answer N/A)
Parent/Guardian #2 Home Phone Number (if none, answer N/A)
Parent/Guardian #2 Email Address that is associated with your school records (if none, answer N/A)
Does this Parent have a different home address than you? 
Clear selection
Home Address (If apartment, please add number)
City
State
ZIP Code
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