Printable Application

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2015-2016 AVID Application
Return completed application to ERHS AVID coordinator Ms. Laura Rembert by May 8, 2015
Name:
Date of Birth:
Address:
Street
City, State, Zip Code
Home Phone:
Parent/Guardian Name:
Parent/Guardian Cell/Work Phone
Number:
Parent/Guardian Email Address:
Parent/Guardian Name:
Parent/Guardian Cell/Work Phone
Number:
Parent/Guardian Email Address:
Current GPA:
Latest FCAT scores:
Reading Score:_______ Math Score:_______
Number of Advanced Classes
Taken?
Number of Absences?
Referrals?
Number of Referrals?________
Level of Each Referral:
Single Parent Family?
Yes_____ No_____
ESOL Student?
Yes_____ No_____
Large Family? (4 or more siblings)
Yes_____ No_____
Has anyone in your family
attended/graduated from college?
Number of years in AVID
program?
Yes_____ No_____
Student Signature:__________________________________________________ Date:___________________
Parent Signature ___________________________________________________ Date: ___________________
*Interviews will be arranged with the student through the student’s current guidance counselor.
Name:_______________________________________
AVID Essay
Advancement Via Individual Determination
Please write an explanation of why you desire to be in AVID. Also, please state the traits you possess that you
believe qualify you to be an AVID student and the goals that you have for your future.
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Teacher Recommendation Form for AVID
Must be completed by your current Language Arts teacher.
Teacher’s Name:____________________________________________________
Student’s Name:____________________________________________________
The student listed above is interested in joining the AVID program. This is a course designed primarily for
students who have college potential. AVID students are expected to earn a GPA of at least a 2.5, pass all of
their academic classes with a C or higher, maintain good conduct, and show individual determination to be
successful. As this student’s teacher, your feedback will be highly valued and much appreciated. Please take a
few moments to answer the following questions (in ink) so that the AVID team may determine an appropriate
placement for this student. Thank you.
Please check the appropriate box:
Do you believe this student needs the support of the AVID class?
Does this student seem to have college potential?
Does this student display good classroom work habits?
Does this student complete their homework?
Does this student practice good citizenship?
Does this student have an acceptable attendance record?
Never
Sometimes
Always
Please write a brief description of why you feel this student would be a good candidate for the AVID program:
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Teacher Signature: __________________________________________________________________________
Math Teacher Recommendation Form for AVID
Must be completed by your current mathematics teacher.
Teacher’s Name:____________________________________________________
Student’s Name:____________________________________________________
The student listed above is interested in joining the AVID program. This is a course designed primarily for
students who have college potential. AVID students are expected to earn a GPA of at least a 2.5, pass all of
their academic classes with a C or higher, maintain good conduct, and show individual determination to be
successful. As this student’s teacher, your feedback will be highly valued and much appreciated. Please take a
few moments to answer the following questions (in ink) so that the AVID team may determine an appropriate
placement for this student. Thank you.
Please check the appropriate box:
Do you believe this student needs the support of the AVID class?
Does this student display good classroom work habits?
Does this student complete their homework?
Never
Sometimes
Yes
No
Always
If the student is currently a 6th grader, can you recommend them for PreAlgebra next year as a 7th grader?
If the student is currently a 7th grader, can you recommend them for
Algebra next year as an 8th grader?
Please write a brief description of why you feel this student would be a good candidate for the AVID program:
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Teacher Signature: __________________________________________________________________________
Teacher Recommendation Form for AVID
Must be completed by your current science teacher.
Teacher’s Name:____________________________________________________
Student’s Name:____________________________________________________
The student listed above is interested in joining the AVID program. This is a course designed primarily for
students who have college potential. AVID students are expected to earn a GPA of at least a 2.5, pass all of
their academic classes with a C or higher, maintain good conduct, and show individual determination to be
successful. As this student’s teacher, your feedback will be highly valued and much appreciated. Please take a
few moments to answer the following questions (in ink) so that the AVID team may determine an appropriate
placement for this student. Thank you.
Please check the appropriate box:
Do you believe this student needs the support of the AVID class?
Does this student seem to have college potential?
Does this student display good classroom work habits?
Does this student complete their homework?
Does this student practice good citizenship?
Does this student have an acceptable attendance record?
Never
Sometimes
Always
Please write a brief description of why you feel this student would be a good candidate for the AVID program:
__________________________________________________________________________________________
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Teacher Signature: __________________________________________________________________________
Teacher Recommendation Form for AVID
Must be completed by your current social studies teacher.
Teacher’s Name:____________________________________________________
Student’s Name:____________________________________________________
The student listed above is interested in joining the AVID program. This is a course designed primarily for
students who have college potential. AVID students are expected to earn a GPA of at least a 2.5, pass all of
their academic classes with a C or higher, maintain good conduct, and show individual determination to be
successful. As this student’s teacher, your feedback will be highly valued and much appreciated. Please take a
few moments to answer the following questions (in ink) so that the AVID team may determine an appropriate
placement for this student. Thank you.
Please check the appropriate box:
Do you believe this student needs the support of the AVID class?
Does this student seem to have college potential?
Does this student display good classroom work habits?
Does this student complete their homework?
Does this student practice good citizenship?
Does this student have an acceptable attendance record?
Never
Sometimes
Always
Please write a brief description of why you feel this student would be a good candidate for the AVID program:
__________________________________________________________________________________________
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Teacher Signature: __________________________________________________________________________
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