Lyceum Academy Application, 2019-2020
First Name *
Middle Name
Last name *
Current Grade *
Student ID Number (leave blank if not in NMUSD)
Mailing Address *
Zip Code *
Telephone Number (Primary): (xxx)xxx-xxxx *
Student Email (Please do not use your nmusd google sign-in; there is no email connected to it) *
What school are you currently attending? *
Why do you want to participate in the Lyceum Academy? *
Which academic subjects interest you the most? Select up to three. *
What are your personal goals? *
Describe what is most difficult or challenging for you in school. *
Describe an obstacle you have had to overcome and what tools, skills or strategies you used to get through it. *
Please list and explain any honors, awards, or other activities that reflect your scholastic achievements in the past three years (250 words or less). *
Are you able to commit to a three day summer orientation the week of August 19? *
Please use this space as an opportunity to share anything else about yourself that you think would help us get to know you better. *
Thank you for completing the Lyceum Academy Application. Please make sure your application is complete before submitting. We look forward to reading about you.
Never submit passwords through Google Forms.
This form was created inside of Newport-Mesa USD. - Terms of Service