Application for PUSD Pathway Programs
Use this application if you will be entering the 9th grade in 2019.

Porterville Unified School District's Pathway Programs offer a choice among several different multi-year programs of study that combine academic and technical skills to better prepare students for College and Careers. Please check a designated Pathway Program listed below. Students will be accepted on a space available basis. There will be a random draw if there are more applicants than openings available. Porterville Unified School District will not discriminate against any student on the basis of ethnicity, national origin, gender, disability, religion, or political beliefs. Preference for admission will be given to students residing within the boundaries of PUSD and to siblings of current students.

Email address *
All Applications are due on or before 12:00 Noon, January 11, 2019
Special Instructions!!!
Only submit this form once! If you should change your mind about attending a pathway or wish to select a different first or second choice, please call PUSD Pathways and make the request BEFORE the application deadline. (559)793-2437
Student Information
Student's First Name *
Your answer
Student's Middle Name
Your answer
Student's Last Name *
Your answer
Are you an Incoming 9th Grader for Fall 2019? *
Porterville Unified School District Student ID Number
Enter only if you are attending a PUSD middle school and you know your ID Number. Otherwise leave the field blank.
Your answer
Gender *
Parent/Guardian Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Home Address
If different from mailing address
Your answer
City
Only if different from mailing address
Your answer
State
Only if different from mailing address
Your answer
Zip Code
Only if different from mailing address
Your answer
Contact Phone *
Home or Cell
Your answer
Alternate Contact Phone
Home or Cell
Your answer
Emergency Contact Phone *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
High School of Residence *
Please state the high school you would attend based on your home address.
Current Middle School *
PUSD Pathway of Choice
Please rank your preference for application below. Please make sure you select both a first and second choice to ensure acceptance into a Pathway's Academy.
First Choice Pathway *
Choose by selecting one pathway
Family Information
Does the applicant have a brother or sister attending your first pathway choice? *
Name of brother or sister attending first choice pathway.
Your answer
Second Choice Pathway *
Choose by selecting one pathway
Does the applicant have a brother or sister attending your second pathway choice? *
Name of brother or sister attending second choice pathway.
Your answer
Parent/Guardian *
I am supportive of my child’s request to attend a PUSD Pathway Program and understand that students will be enrolled in college preparatory courses along with support classes when needed, will select electives specific to the pathway theme, and will complete projects that demonstrate mastery of the curriculum. I authorize release of student records from the previous school of enrollment.
Name of Parent or Guardian completing this form. *
Your answer
Email address of person completing this form *
Your answer
Email Confirmation *
You will be sent an email receipt shortly after you submit your request. Email confirmation will be sent to the email address listed at the top of the form. Please keep and print it for your records.
Required
A copy of your responses will be emailed to the address you provided.
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