Urban Underground Academic Support

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Urban Underground Academic Support - Student Application

Please bring a copy of your class schedule for this semester to Allison, Imani, or Ms. Sharlen

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip: *

School: *

Grade: *

Personal Cell Phone:

Alternate Phone:

If you do NOT have a personal cell phone

Will you be able to attend Academic Support on Mondays and Wednesdays from 4:00-7:00? If there is a scheduling conflict, please describe. *

Does your school have an online grading system? If yes, what is the site and what is your login information? *

What are your strongest/favorite subjects in school? *

What are your weakest/toughest subjects in school? *

Are you taking any AP/IB classes this year? If yes, which classes? *

What is your current GPA? *

At the end of the semester, what do you hope your GPA will be? *

Have you taken the ACT yet? If yes, what was your score? *

What do you hope your ACT score will be by the end of this year? *

What other goals do you have for your academics this school year? *

What are you most nervous about for this school year? *

What are you most excited about for this school year? *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report