Application to the Academy of Science and Medicine & Parental Consent (for 2024-2025 school year)
This Application is ONLY for Crescenta Valley High School students (GUSD)

Students:  Enter your @stu.gusd.net email address below - this serves as your e-signature for documentation purposes.

If you have any questions, please send an email to academyofscienceandmedicine@gmail.com


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Email *
Academy of Science & Medicine
Please read the Academy Description/Requirements of the CVHS Academy of Science and Medicine: *
Required
Student's Last Name *
Student's Names (First and Middle) *
Student's Current Grade Level *
Student's School ID Number (GUSD) *
Sex *
Student's Future Career Goal *
Home Address (Include Street, Number, and Apartment #, if applicable) *
Home Address (only City & Zip Code) *
Student's Phone Number (please, use this format 555-555-5555) *
Student's email address (NOT @stu.gusd). Use another. Example: gmail, yahoo, hotmail, etc) *
Student's GUSD email address (here, we need your @stu.gusd.net email address) *
Who is your Science Teacher? *
What Science Class are you taking? *
Math Level? *
Who is your Math Teacher? *
Biotechnology is a REQUIRED CTE class for Sophomores, unless there is a conflict with Athletics or Band. PLEASE check the option that applies to you. *
In the space below, please type a paragraph explaining why you want to join the Academy. You should include: 1. What you hope to get out of the Academy?   2. How the Academy could benefit from your Membership. (Please check your spelling, punctuation and grammar). *
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