Tempe Union High School District Gifted Services Testing
Directions: Review this form carefully and provide all requested information.
Student's First Name *
Your answer
Student's Middle Initial *
Your answer
Student's Last Name *
Your answer
Birthdate - Using the drop down lists below, select the student's birthdate *
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Gender *
Ethnicity (optional)
If you chose “Other” in the question above, please enter ethnicity (optional)
Your answer
Home address - Street *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Telephone (include area code)
Your answer
In which school district is the student currently enrolled? *
If you chose “Other” in the question above, please enter the district name.
Your answer
Which middle school does the student currently attend? *
If you chose “Other” in the question above, please enter current school.
Your answer
Current Grade *
If you chose “Other” in the question above, please enter current grade.
Your answer
Please select a testing time (choose one): *
Which high school is your home (neighborhood) school? *
If you chose “Other” in the question above, please enter the high school name.
Your answer
Which high school does the student plan to attend? *
Parent acknowledgement and permission I have reviewed the application procedures and have ascertained that my child is submitting all the required information. I hereby grant permission for him or her to participate. Parent acknowledgement and permission I have reviewed the application procedures and have ascertained that my child is submitting all the required information. I hereby grant permission for him or her to participate. Parent Name: *
Your answer
Date
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YYYY
Email *
Your answer
Student acknowledgement and agreement I have reviewed the application procedures and have ascertained that all the required information has been included. Student Name: *
Your answer
Date *
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DD
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YYYY
Student Email *
Your answer
Submit
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