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President's Academy Application


* Applicant's First Name:
* Applicant's Last Name:
* Gender:
* Date of Birth (mm/dd/year):
* Race:
* School:
* Grade Entering Fall 2014:
* Street Address:
* City:
* State:
* Zip:
* Home Phone:
Applicant's Mobile Phone (optional):
Applicant's Email (optional)
* T-Shirt Size: (Adult Sizes)

Academic Information
* GPA:
* Please select your exam type:
* Overall Score:
* Math Score:
* Verbal Score:

Parent/Guardian Information
* Parent/Guardian First Name:
* Parent/Guardian Last Name:
Street Address (if different than above):
City:
State:
Zip:
* Daytime Phone:
Please list any additional information we may need to know about your child:

Our program will only consider references that are from someone who can give an academic reference on a student applicant. Two completed recommendations are required. Applicants can select a teacher and an administrator (principal or counselor). Online recommendation forms are automatically generated and emailed to the contacts as provided by the applicant. The recommendation forms are to be complete no later than 5/10/2014. Please complete this form to recommend the applicant for the President's Academy.

1st Recommender's Information
* First Name:
* Last Name:
* Title:
* School/Organization Name:
* Email:
* Phone:

2nd Recommender's Information
* First Name:
* Last Name:
* Title:
* School/Organization Name:
* Email:
* Phone:

Career Track Choices Choose your 1st, 2nd, 3rd and 4th career track choices.
* 1st Choice Career Track:
* 2nd Choice Career Track:
* 3rd Choice Career Track:
* 4th Choice Career Track:

Additional Information
Is your parent/guardian employed by any of the following?
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