Student Application and Parent Permission

Modesto City Schools AVID Student Application and Parent Permission Please neatly print all information

Student’s Name ______Student’s Address ______City ______State _____ Zip Code ______Phone (___)______

Junior High Hanshaw La Loma Mark Twain Roosevelt Hart Ransom Prescott

High School of Residence Beyer Davis Downey Enochs Gregori Johansen Modesto

AVID History Yes No

Mark which grades 7 8 9 10 11 12

MCS ID Number

I wish to participate in the AVID program at a Modesto City High School. I understand that I may need to have an 8 period day or attend summer school at some point in order to be prepared to enter a 4-year college or university immediately after graduation. Modesto City Schools AVID Student Application and Parent Permission Please neatly print all information ______Student Signature Date

Parent / Guardian’s Name: ______

I wish my child to participate in the Modesto City Schools AVID program.

______Parent / Guardian Signature Date

If you are not a current Modesto City School student, you MUST attach the most current grade report showing all subject area grades, an attendance report for the current grading period, AND a copy of your most recent CST results.

Please return this signed form by ASAP. Return the form to the site you are applying, attention AVID Coordinator.

Student Name: ______

Current School: ______

Demographic Information Please answer each of the following to the best of your ability. Always Mostly Sometimes Never I understand what is taught in all my classes. I complete my assignments. I understand what I read. I like to read. I can write a 5-paragraph essay on my own. I am comfortable asking for help. I am comfortable asking questions in class. I go to tutoring when I have trouble with a class.

Language spoken at home: ______Gender (optional): Male Female Ethnicity (optional): Native American Asian Pacific Islander Hispanic / Latino African-American Caucasian Other: ______Modesto City Schools AVID Student Application and Parent Permission Please neatly print all information

Yes No One or both of my parents have graduated from a 4-year college or university in the United States.

If needed, I am willing and able to attend summer school.

If no, why not?

Please return this signed form ASAP. Return the form to the site you are applying, attention AVID Coordinator.

AVID Questionnaire: Please answer the following in complete questions.

1. Why do you wish to be in the AVID program?

2. What do you think is your best academic subject? Why?

3. What do you think is expected of you as an AVID student (behavior, attendance, grades, etc.)?

4. What do you do if you have difficulty with a subject?

5. Why do you want to go to college? Modesto City Schools AVID Student Application and Parent Permission Please neatly print all information 6. What are your responsibilities outside of the classroom; at home, at your house of worship, on a sports team, etc… ?

7. What activities and / or community service do you plan to be involved in during high school (the things that you enjoy doing)?

Please return this signed form by ASAP. Return the form to the site you are applying, attention AVID Coordinator.