2024-2025 Cobalt Institute of Math and Science Middle School AVID Application
Please complete the following application to be considered as a member of the AVID Elective. This application will be used in the selection process. Final acceptance will be determined upon completion of an interview by the AVID site team.  Both parent and student must fill out the sections that pertain to him or her.
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Email *
Last Name *
First Name *
Current grade level *
Middle School you are attending (choose all that apply) *
Address (number and street, city, state, zip code) *
Phone Number (xxx) xxx-xxxx *
Parent/Guardians Name *
Parent Email *
Student Email *
Previous Enrollment in AVID Elementary *
Have your parent/guardians graduated from a 4 year college? *
Rate the following questions with how you feel and how your family feels: How important is it for you to go to a four-year college? *
Not Important
Extremely Important
Rate the following questions with how you feel and how your family feels: How important is it to complete ALL of your class assignments? *
Not Important
Extremely Important
Rate the following questions with how you feel and how your family feels: How important is it to make straight A’s in your classes? *
Not Important
Extremely Important
Rate the following questions with how you feel and how your family feels: How important is it to get into the AVID program? *
Not Important
Extremely Important
What grades did you earn in the following subjects?
Math
English
Science
Social Studies
A
B
C
D
F
Extracurricular, Personal, and Volunteer Activities: (Must be filled out by student)Please list some activities that you do outside of class-time. Include community activities, family activities, hobbies, musical instruments, sports teams, or other accomplishments we should know about. *
Why do you want to go to college? (Must be filled out by student) *
Have you ever had to overcome a hardship? What did you do to work through it? (Must be filled out by student) *
Do you have a sibling in AVID?
Clear selection
I believe that I need help in: (Mark all that apply)
My child and I want to participate in the AVID elective college-preparatory program for the coming year. *
What do I want my child to get out of their participation from the AVID program? (Must be filled out by parent) *
Digital Signature *
Signature
Parent/Guardians
Student
Submit
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