HUSD College Prep Programs Application 2019 - 2020
Please complete this application to apply for for AVID, Biomedical Sciences, Engineering, MEHS Technology & Art or Puente. You may apply to more than one program using this application but ultimately may only participate in one program. Either student or parent/guardian may complete this application.

*Acceptance into some programs will require placement into an associated elective class.

Student ID Number *
also known as "lunch number"
Your answer
Student's LAST Name *
Your answer
Student's FIRST Name *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Gender
Student's Ethnicity *
Required
Student's Cell Phone Number
leave blank if none
Your answer
Student's Email *
Use your SCHOOL email (not your personal email) ____@husd.k12.ca.us
Your answer
Student is CURRENTLY in *
Student CURRENTLY attends *
What is the first and last name of your current English (ELA) teacher? *
Your answer
NEXT year student plans to attend *
The school I plan to attend NEXT year is *
Parent/Guardian LAST Name *
Your answer
Parent/Guardian FIRST Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email
If not known, leave blank.
Your answer
What is the highest level of education completed by a parent/guardian? *
If you have more than one parent or guardian, choose either.
If you have a second parent/guardian, what is their highest level of education?
If you do not have a second parent/guardian, leave this blank.
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