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Academy of Agriculture Application 2021-22
2021-22 Academy Application - if you would like to be a part of the Ag Acaedemy, please complete this form.
* Indicates required question
Email
*
Your email
Please check the pathway you are interested in.
*
Plant Science
Ag Mechanics
Required
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student ID #
Your answer
Student's Date of Birth
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MM
/
DD
/
YYYY
Gender
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Male
Female
Grade Level
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8th Grade
9th Grade
Current Grade Point Average (GPA)
Your answer
Mailing Address
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Your answer
City
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Your answer
State
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California
Other
Zip Code
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Your answer
Phone #
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Your answer
Cell Phone #
Your answer
Email Address
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Your answer
Parent or Guardian Name
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Your answer
Parent's preferred language
*
Your answer
Parent's contact number
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Your answer
Parents email address
Your answer
Does this parent live with you?
*
Yes
No
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