HUSD College Prep Programs Application 2020 - 2021
Please complete this application to apply for AVID, Biomedical Sciences, CMMA, Diaspora, EAOP/DCAC, Engineering, LISTAS, Made In Hayward Scholars, MEHS Technology & Art or Puente, THS Sustainable Agriculture and Upward Bound. You may apply to more than one program using this application but ultimately may only participate in one program. Either student or parent/guardian may complete this application.

*Acceptance into some programs will require placement into an associated elective class.
Student ID Number *
also known as "lunch number"
Your answer
Student's LAST Name *
Your answer
Student's FIRST Name *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Gender
Student's Ethnicity *
Required
Student's Cell Phone Number
leave blank if none
Your answer
Student's Email *
Use your SCHOOL email (not your personal email) ____@husd.k12.ca.us
Your answer
Student is CURRENTLY in *
Student CURRENTLY attends *
What is the first and last name of your current English (ELA) teacher? *
Your answer
NEXT year student plans to attend *
The school I plan to attend NEXT year is *
Parent/Guardian LAST Name *
Your answer
Parent/Guardian FIRST Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email
If not known, leave blank.
Your answer
What is the highest level of education completed by a parent/guardian? *
If you have more than one parent or guardian, choose either.
If you have a second parent/guardian, what is their highest level of education?
If you do not have a second parent/guardian, leave this blank.
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