AVID Application
(ONLY use if Internet is not accessible.)
Print Please!
Student Name: _____________________________ Date: _________ Current Grade: __
Junior High School attended: ______________________________ID #_______________
Email: ________________________________________ Cell Phone: ________________
Parent/Guardian Name(s): __________________________________________________
Home Phone: _______________________
Cell Phone: _________________________
Parent/Guardian’s email: ___________________________________________________
Please answer the following:
1. Please list the names and ages of any siblings you have:
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2. Circle the highest level of education that your father completed:
Junior High
High School GED 2-year College 4-year College Post-baccalaureate Unsure Other: ________
3. Circle the highest level of education that your mother completed:
Junior High
High School GED 2-year College 4-year College Post-baccalaureate Unsure Other: ________
4. Please list any extra-curricular activities you are in:
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Revised February 2017
Tell us about yourself. How can AVID help you? And in turn, how can you help our AVID
Timberwolves family?
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Commitment to AVID Expectations:
Please read the following and initial each line showing that you agree. It is very important to
understand the commitment you are making to the AVID program as we are making a
commitment to you. If you fail to meet your commitment, you may be placed on probation and
possibly exited from the program.
Please initial each line.
I agree to enroll in the AVID class for the entire academic year.
Student
I agree to take notes in all my core subject areas as required in AVID.
I agree to keep my binder organized as required by AVID.
I agree to maintain good attendance and be punctual for all my classes.
I agree to participate fully in tutorials as required by AVID.
I agree to participate in field trips, college visits and other AVID activities.
I agree to participate in community service as outlined by AVID.
I agree to keep my parents fully informed of AVID program activities.
I agree to complete all my assignments in all classes including AVID.
I agree to ask for help and talk to my AVID teacher or counselor if
necessary.
I agree to keep a positive attitude and be enthusiastic about preparing for
college.
I agree to be enrolled in rigorous courses throughout AVID.
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Student Signature
Revised February 2017
Please answer the questions below as part of your application.
1. What is your strongest subject? Why?
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2. Explain a situation where you were self-motivated.
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3. Describe a bad experience you have had academically. How did you overcome this
adversity? (Please do not mention names).
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Revised February 2017
4. What have you learned or what do you know about AVID that has will help you in the
future?
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5. AVID stands for Advancement Via Individual Determination. In your own words, what
does “individual determination” mean to you? Describe a time when you modeled
individual determination.
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This portion of the application is due back to Ms. Hicks (Room 207) NO LATER THAN March 3rd,
2017. Also, please remember to pass out your teacher recommendations and to complete the
application essay. Both of these are due back to Ms. Hicks (Room 207) or NO LATER THAN
March 3, 2017.
YOUR APPLICATION WILL NOT BE CONSIDERED IF
WE HAVE NOT RECEIVED ALL PARTS BY THEIR RESPECTIVE DUE DATES.
Good luck!
Revised February 2017