Summer Creek High School
14000 Weckford Blvd. • Houston, Texas 77044 • 281.641.5400 • Fax 281.641.5417
______
Kimberly Mouser, AVID Coordinator
281.641.5642
AVID: Advancement Via Individual Determination
Application for 2011-2012
(Please print entire application)
Student Name: ______
Parent/Guardian Name ______
Address ______
Phone Number ______
Email Address ______
Current School Attending ______Current Grade Level ______
Return this application to Mrs. Mouser in Rm. 2618 or to your counselor.
A t t i t u d e i s E v e r y t h i n g
Summer Creek High School
14000 Weckford Blvd. • Houston, Texas 77044 • 281.641.5400 • Fax 281.641.5417
______
Kimberly Mouser, AVID Coordinator
281.641.5642
1. Mother’s Highest Level of Education if known - (circle one)
High School Some College College Graduate - From what school? ______
2. Father’s Highest Level of Education if known – (circle one)
High School Some College College Graduate - From what school? ______
Return this application to Mrs. Mouser in Rm. 2618 or to your counselor.
A t t i t u d e i s E v e r y t h i n g
Summer Creek High School
14000 Weckford Blvd. • Houston, Texas 77044 • 281.641.5400 • Fax 281.641.5417
______
Kimberly Mouser, AVID Coordinator
281.641.5642
3. With whom do you live – (circle one) Mother Father Both Parents Other – Guardian
4. How many children in your family, including you? ______
Two Teacher Recommendation Signatures: ______
______
As a parent or guardian you must support your child in his/her attempt to pursue the dream of going to college and be an advocate for his/her success. Are you willing to attend at least one information meeting about AVID and help ensure that your child is studying 1-2 hours per school night and keeping an organized binder and planner if your child is accepted?
YES NO Parent/Guardian Signature ______
As an AVID student you must pursue enrollment in a rigorous and challenging curriculum. You will also be required to maintain passing grades, to always put forth your best effort and to be a role model in the school. This means discipline should not be a problem. Are you willing to follow these guidelines if accepted?
YES NO Student Signature ______
Have you been in the AVID program before? YES or NO ______What grade(s)? ______
Campus name: ______
**Please complete the questions on the back of this page. It is required.
AVID Application for 2011-2012 – Continued:
This is your written interview for AVID. It is not optional. It must be answered completely to be considered for placement in AVID.
You may attach a lined sheet of paper to write your answers, or you may
type your answers and print a copy to submit with this application.
1. Why would you like to be in AVID?
2. What are your strengths both personally and academically?
3. What are your weaknesses both personally and academically?
Return this application to Mrs. Mouser in Rm. 2618 or to your counselor.
A t t i t u d e i s E v e r y t h i n g