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RAMS AVID Application
If you are interested in being considered for the AVID elective at RAMS, please complete this form. You will be contacted about your interview date after this is submitted.
* Indicates required question
Email
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Your email
What AVID criteria fits you? Check all that apply. If you do not fit any of the criteria you can stop filling out the form.
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I would be one of the first to go to college in my family. My parents did not go to or finish college.
I live in a large family
I get 3's and 4's in my classes and sometimes 2's
My family speaks another language
I have brothers or sisters that were in AVID
I live with my grandparents
I receive free and/or reduced lunch
I don't fit any of these criteria BUT I really want to be in AVID. Could you please contact me?
I don't fit any of this criteria and am not interested in applying-- if you check this you do not meet the criteria to apply for the AVID elective. You can stop filling out the form.
I have another circumstance and will answer it in the next question.
Required
My special circumstance is... *If you are not answering this, please go to the next question.
Your answer
What is your FIRST name that was given to you at birth.
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Your answer
What is your LAST name
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Your answer
Do you go by a different first name at school? If yes, let us know what it is. If you don't put the letter X.
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Your answer
What school do you attend right now?
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Brimhall Elementary
Central Park Elementary
Edgerton Elementary
Emmitt D Williams Elementary
Falcon Heights Elementary
Harambee Elementary
Little Canada Elementary
Parkview Schools K-6
Parkview Schools 7 or 8
Roseville Area Middle School
Other:
Required
What is your birth date? Month/Day/Year
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MM
/
DD
/
YYYY
Check all of the grades that you have attended at your
current
school. Please include your current grade.
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Required
If you attended another school for elementary other than Roseville, please write the name(s) and district(s).
Your answer
*
Your answer
Why do you want to be a part of the AVID Elective? Check all that interest you.
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It looks like fun
I want to go to college
I get mostly 3's and 4's and want to keep learning
I like to work with others
I am or want to be a leader
I am ready to work hard to go to college
I like challenges in school
AVID's family atmosphere is exciting to me
None of the above
Required
Who do you live with? If you live at more than one house/apartment/etc, please include all people you live with.
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Mom
Dad
Grandma
Grandpa
Aunt
Uncle
Foster Parent
Other
Required
How many homes do you stay at each week? Mom/Dad/Grandparents, other relatives?
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1
2
3
More than 3
What is/are the name(s) of your parent(s) / guardian(s)?
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Your answer
How many total siblings do you have?
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Your answer
Have any of your siblings ever been a part of the AVID program? If so, what are their names and what school do they attend now?
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Your answer
How do you identify yourself? Check all that apply.
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Asian
American Indian
African American
Black
Hispanic
Indian
Latinx
Pacific Islander
Caucasian
White
Other:
Required
What language(s) do you speak at home?
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Your answer
What programs or support are you or have you been a part of in the elementary school or middle school. Check all that apply to you.
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Dual Language Spanish Immersion (DLSI)
Gifted and Talented
Special Education
Speech
ELL - I work with an ELL teacher in Reading and/or Math
Unity Center
Friendship Connection
STEM after school
I was not in any of these programs
Other:
Required
What does your school day currently look like? Check all that apply.
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I stay in the same room all day (homeroom)
I sometimes leave the classroom and work one on one with a different teacher
I sometimes leave the classroom to work in a small group during Reading or Math
I have an adult sit with me in my class to help me every day
I go or have gone to TOPS or afterschool help to get help with Reading or Math.
I go to many classes with many different teachers at my middle school
Required
How do I learn best? Check all that apply.
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I am independent in my learning
I love reading and writing
I love math
I am a hands on learner. I like to see and create things.
I like to be challenged at school
I complete all of my classwork and submit or hand it in on time.
I get my projects done on time.
School is very easy for me.
I get mostly 3s and 4s (Bs and As)
School is hard for me. I feel like I'm behind and need a lot of help.
I get mostly 1s and 2s (Cs and Ds).
I am failing most of my classes.
Required
Write about a time that you felt very proud of yourself!
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Your answer
Describe yourself using 3-5 adjectives.
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Your answer
What are some activities that you enjoy outside of school?
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Your answer
Are you involved with any of these activities? Check all that apply.
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Band
Orchestra
Choir
Student Council
Bus Patrol
Boy Scouts / Girl Scouts
Girls on the Run
Theatre
Leadership Groups
Other:
Required
In AVID, you will be working to prepare yourself for college and a career. Which of the following skills do you have? Check all that apply.
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I don't give up on things
I work well with others
I like to learn new things
I am very organized
I complete all of my work on time
I do more than what is expected
None of these
Other:
Required
Which of these skills are you still working on or find challenging? Check all that apply.
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I don't get my classwork done
I don't do homework
I only like to work by myself
My behavior gets in the way of my learning
I have a hard time reading at grade level
Math is really hard for me
I am not organized. I lose things and can't keep things together
I start a project or assignment, but can't or don't finish it
I forget to hand in or submit my work
It's hard for me to stay focused and complete my work
I have a hard time accepting criticism
None of these
Required
We all go through challenges in life. Write about a time in your life that you felt challenged or had a barrier that limited your success. What was the outcome and what lesson did you learn?
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Your answer
What is the educational background for your mom (if known) Please check the box that names the highest level of education.
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No or very little schooling
Finished Grade School
Finished Middle School
High School - some
Finished High School - with a GED
Finished with High School Diploma
Some college
Trade School or Tech School Degree
Completed a 2-year college
Completed a 4-year college
Graduate Degree (Master's)
Doctorate Degree
Unknown
Required
What is the educational background for your dad (If known) Please check the box that names the highest level of education.
*
No or very little schooling
Finished Grade School
Finished Middle School
High School - some
Finished High School - with a GED
Finished with High School Diploma
Some college
Trade School or Tech School Degree
Completed a 2-year college
Completed a 4-year college
Graduate Degree (Master's)
Doctorate Degree
Unknown
Required
Is there anything else you would like to share about yourself?
Your answer
Send me a copy of my responses.
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