Eastvale STEM Academy 2020-21 Wait List Application for Current 8th Grade Students
Please complete this application in its entirety. It is important that you include a valid parent's email below as that is how we will keep in contact with you.
NOTE: This application is ONLY for current 8th graders seeking to apply for the wait list for their 9th grade year. If you are a current ERHS student, please visit the eSTEM administration office to pick up a paper application.
Email address *
Student's first name *
Your answer
Student's last name *
Your answer
Student's date of birth *
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/
DD
/
YYYY
CNUSD student number (if you are outside of district, please type 0) *
Your answer
Student's home address (ex: 7447 Scholar Way, Eastvale, CA 92880) *
Your answer
Parent's/Guardian's first and last name *
Your answer
Parent's/Guardian's primary phone number (ex: (951) 738-2100) *
Your answer
Re-enter valid parent/guardian email address from above. *
Your answer
Which intermediate school is your student currently enrolled in as an 8th grader? *
If you marked "other" in the previous question, please state which district AND intermediate school your student is currently at (ex: CNUSD, Corona Fundamental):
Your answer
Does the student currently have an Individualized Education Plan (IEP)? *
Does the student currently have a 504 Plan? *
Is your student currently an English language learner? *
Which pathway does your student intend to be on (all students will take courses from all 3 pathways in 9th grade)? *
Have your student complete the question below.
Why do you want to be a part of the Eastvale STEM Academy? *
Your answer
By typing in the student's full name below, your student certifies that he/she has read and agrees to the expectations of the Eastvale STEM Academy program as listed under Enrollment Information, including the rigor of the program. The student certifies that all of the information provided on this form is true and correct.
Student's electronic signature: *
Your answer
A copy of your responses will be emailed to the address you provided.
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