Palm STEAM Academy Student Application Due Friday, March 13, 2020!!
Fill out the form completely and submit prior to the due date, Friday, March 13, 2020
Email address *
The STEAM Academy at Palm Middle School is a challenging academic program designed to encourage students to maximize their academic potential by providing them with a rigorous curriculum focused on Science, Technology, Engineering, Arts, and Mathematics. All students who participate in this program will be encouraged to pursue careers in the fields of science, technology, engineering, arts, and mathematics.
First Name *
Last Name *
Date of Birth *
Gender *
Street Address *
City *
Name of School Currently Attending *
Current Grade Level (e.g. 5th grade) *
Parent/Guardian Name *
Home Phone (if no home phone, just write N/A) *
Parent/Guardian Cell Phone (if no cell phone, just write N/A) *
Parent/Guardian Email Address *
Student Email Address (optional)
Please list extracurricular activities: *
List honors or recognition that you have achieved: *
What are your career interests? *
Current teacher's name: *
Current teacher's MVUSD (school) email address: *
STEAM Academy Contract - Student *
STEAM Academy Contract - Parent *
STEAM Student Application Essay *
Please explain why you want to attend PALM Middle School’s Science, Technology, Engineering, Arts, and Mathematics (STEAM) Academy. Please include an example of your work ethic and ability to deal with difficulty. This essay should be written by you, the student, and must be between 350-500 words.
Never submit passwords through Google Forms.
This form was created inside of Moreno Valley Unified School District.