* 1. Last Name:

* 2. First Name:

* 3. Student ID Number (on student report card):

* 4. Mailing address:

* 5. Parent/Guardian Contact Information:

* 6. What is your current grade level?

* 7. Does the applicant currently have a Gifted Education Plan (EP)?

* 8. What are your current academic strengths?

* 9. What are your current areas in need of academic growth?

* 10. Why do you wish to be in the AVID program and how do you think it will help with your goals for high school and beyond? (Response should be between 200-500 words)

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