Ana maria matute

Palm Springs High School Page 1
Student Demographic Information

Student Name:
(Last) (First) (Middle)

Address:
(Number/Street) (City) (State) (Zip Code)

Home Telephone Number: Student ID#:

Date of Birth: Age: years Birthplace:
(City) (State) (Country)

U.S. Citizen? Yes No Citizen of: Permanent Resident of theUS? Yes No

I attended Palm Springs High School in grades: 9 10 11 12
(Circle each grade you attended at Palm Springs High School )

Independent Study Student: Yes No

Other high schools attended:

|Date Attended/Grade |School Name |School Address |City/State/Zip |
|| | | |
| | | | |
| | || |

Please provide the following information.

|(FOR OFFICE USE ONLY) |SAT I TEST: |ACT TEST: |
| | ||
| |Critical Reading: Click here to enter text. |Total Score: Click here to enter text. |
|9-12 Total Weighted GPA: | | |
|Click here to enter text.|Mathematics: Click here to enter text. |I have not taken this test: Click here to enter |
| | |text. |
|Class Rank: |Writing: Click here to enter text.| |
|Click here to enter text. | |I plan to take the ACT on: Click here to enter |
|Class Size: |I have not taken the SAT: |text. ||Click here to enter text. |Click here to enter text. | |
| |I plan to take the SAT on: | |
| |Click hereto enter text. | |
|SAT II TESTS: | | |
|SAT II Subject: Score: |SAT II Subject: Score: |If you receive new oradditional scores after |
|Click here to enter text. |Click here to enter text. |this application is submitted, it is your |
|SAT II Subject: Score: |SAT II Subject: Score: |responsibility to update this application! |
|Click here to enter text....