ACADEMY OF SCIENCE AND MEDICINE APPLICATION FORM (2024-25 School Year)
  1. Complete all sections.
  2. Application essay (max. 300 words) detailing why you want to become a member of the ASM. Complete the essay first in a word processor, and paste into the application.
  3. After receiving your application, your current science and language arts teachers will be contacted for recommendations.
Email *
PERSONAL INFORMATION
Student Last Name: (capitalize first letter) *
Student First Name: (capitalize first letter) *
Student ID #: *
Put N/A if not an EVSC student
Current Grade Level *
ASM only accepts students into the Freshman and/or Junior years
Where did you attend 8th grade? *
What will be your "home" high school next year? *
Address: *
City *
Zip: *
Student e-mail: *
Please enter a valid EVSC/School email address
Parent Name *
Enter First and Last Name
Parent Phone: *
Parent e-mail: *
How did you hear about the Academy of Science and Medicine? *
(Please check all that apply.)
Required
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