Springbrook High School Academy of Information Technology Registration
Please complete all parts of this registration form


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Student Information
Last Name *
First *
MCPS Student ID # *
If you are not in MCPS, write N/A
Current Grade *
Do you plan on completing the Academy of Information Technology Program? *
What Pathway are you interested in studying?            You may select more than one. *
Required
Class History - you only have to answer the questions for the years you have taken technology classes. Leave the other years blank.
8th Grade Technology Class (What you have taken or plan to register for next year)
9th Grade Technology Class (What you have taken or plan to register for next year)
10th Grade Technology Course (what you have taken or what you plan to register for next year)
11th Grade Technology Course (what you have taken or what you plan to register for next year)
12th Grade Technology Course (what you have taken or what you plan to register for next year)
Additional or elective CS classes taken during high school.
Current Math Class *
Required
What clubs are you interested in?
Anything else you need us to know?
Parent Contact Information
Information for at least one parent must be submitted in this application.
Parent/Guardian Name #1 *
Parent/Guardian #1 Daytime Phone *
Parent/Guardian #1 Email Address *
Parent/Guardian #2 Name
Parent/Guardian #2 Daytime Phone
Parent/Guardian #2 Email Address
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