Parent’s/Legal Guardian Name (First, Last) *

Address *

Parent's Email *

Phone *

Student’s Name (First, Last) *

Student's Email *

Student’s Date of Birth (MM/DD/YYYY) *

Pronouns *

Ethnic Background *

Name of Current Middle School *

Name of Prospective High School *

SDUSD Student ID#: *

My student qualifies for Free and Reduced Priced Meals *

PARENT/GUARDIAN SHORT ESSAY: What would you hope your child will gain from participating in this program? (maximum 500 words) *

STUDENT SHORT ESSAY: You accidentally ate some radioactive pizza. The good news is it tasted great! The even better news is that it has given you one superpower of your choice. Which superpower would you choose and what would you do with it to make the world a better place? (maximum 500 words)