Application for Independent Study Summer Math Program
Name: *
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Student's Name: *
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Student's email address: *
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Grade level the student has most recently completed: *
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Parent/Guardian Phone Number: *
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Parent/Guardian Email Address: *
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School my child will be attending in fall 2020: *
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Course your student wishes to take over the summer: *
Please describe the reason your student wishes to take this course over the summer: *
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