Avondale GSRP Application

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Please complete the following pre-eligibility form to apply for a spot in Avondale GSRP for the 2020-2021 school year. We will be contacting you to set up an initial interview. Those interviews will begin in June. We will notify you in August if your child met the requirements and was accepted into the program.

Students who have a birthday BETWEEN September 1, 2015 and August 31, 2016 will be given priority acceptance into our program. However, students can apply as long as their birthday is BEFORE December 1, 2016.

Students with birthdays before September 1, 2015 and on or after December 1, 2016 are not eligible this year. Please call the main office of your home school to discuss options for your child!

Please note that this is an application for both Avondale GSRP programs, both at Auburn Elementary

Child's Name *

First and Last

Parent or Guardian's Names *

First and Last

Child's Address *

Phone Number (Please type as xxx-xxx-xxxx) *

Email Address of Parent or Guardian *

Child's Birthday *

YYYY

Number of People Living in Home *

Number of People Working Who Live in Home *

Estimate of Income of The Household (please specify if weekly, biweekly, monthly, or annually) *

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