2020-2021 AEC Application
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Email *
Please Enter Your Student Email Address Below
Student- Please Enter Your First Name Below
Student- Please Enter Your Last Name Below
Parent #1- Please List Your Complete Email Address Below
Parent #1- Please List Your First Name Below
Parent #1- Please List Your Last Name Below
Student- Please Select Your Degree Path Below
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Student- Please List Your Date of Birth Below
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Student- Please List Your Street Address Below
Student- Please List the City/ Town That You Live in Below
Student- Please List the State That You Live in Below
Student- Please List Your Zip Code Below
Student- Please List Your Mailing Address Below (If It Is Different From Your Physical Address)
Parent #1- Please List Your Home Phone Number Below
Parent #1- Please List Your Cell Phone Below
Student- What is Your Current Grade Level?
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Student- Where Do You Currently Attend School?
Student- Who Do You Currently Live With?
How Many Years Have You Lived With This Person?
Student- Please Sign Below By Typing Your First and Last Name
Are You a First Generation College Student (A 1st generation college student is a student in which neither parent currently holds a 4 year degree (Bachelors Degree))?
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Parent #1- What Is the Highest Education Obtained By You?
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Parent #2- What Is the Highest Education Obtained By You?
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Please Select the Yearly Household Income For Your Household Below
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Student- Please List Your Race/ Ethnicity Below
Please Select Any Educational Services That You Currently Receive Below
Student- Please Enter Your Powerschool ID Below
I hereby authorize counselors and/ or  institutions to release transcripts, educational records (including but not limited to Individualized Educational Plans (IEP), Section 504 Plans, Academically and Intellectually Gifted (AIG) records, and ESL records), transcript, attendance, discipline, testing results, mid-term reports, and final grade reports regarding the above named student to the Alexander Early College High School.  This authorization also allows Catawba Valley Community College or other post secondary institutions to release enrollment information, class schedules, mid-term grade reports, and semester grade reports to the Alexander Early College High School.  Student Please Sign Below With Your First and Last Name
Signature Date
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Parent Signature Below
Date
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