Tempe Union High School District
Honors and Gifted Services
Student Application - Part 1
(updated 7/29/13)


Directions: Review this form carefully and provide all requested information.


Click here for the 2013-2014 Honors/Gifted Testing Student Information Booklet

Student's First Name

First Name
Student's Middle Initial
Middle Initial
Student's Last Name
Last name
Birthdate - Using the drop down lists below, select the student's birthdate
Month

Day

Year

Gender

Male Female

Ethnicity (optional)

If you chose “Other” in the question above, please enter

Ethnicity - Other
Home address
Street
City
State
Zipcode
Telephone (include area code)
Telephone ()
In which school district is the student currently enrolled?
Tempe Elementary
Kyrene
Chandler
Mesa
Phoenix
Other

If you chose “Other” in the question above, please enter the district name.

Which middle school does the student currently attend?

If you chose “Other” in the question above, please enter.

Current School
Current Grade


If you chose “Other” in the question above, please enter.

Current Grade
At which Test Site does the student anticipate testing? (choose one)
Saturday, September 7 at McClintock High School at 9am
Saturday, September 14 at McClintock High School at 9am
Saturday, September 21 at McClintock High School at 9am
Saturday, September 28 at McClintock High School at 9am
Saturday, October 19 at McClintock High School at 9am
Saturday, October 26 at McClintock High School at 9am
Wednesday, October 30 at McClintock High School at 3:30pm
Saturday, November 2 at McClintock High School at 9am
Thursday, November 7 at McClintock High School at 3:30pm
Saturday, January 25 at McClintock High School at 9am
The afternoon sessions require a reservation. Please contact Testing Services at 480-752-8697 to make a reservation.

Which high school is your home (neighborhood) school?

If you chose “Other” in the question above, please enter the high school name.

Which high school does the student plan to attend?

Parent acknowledgement and permission
I have reviewed the application procedures and have ascertained that my child is submitting all the required information. I hereby grant permission for him or her to participate in the placement testing program. Further, I grant permission for my child to be placed in the appropriate classes for which he or she qualifies.
Parent:

Name
Date
Email
Student acknowledgement and agreement
I have reviewed the application procedures and have ascertained that all the required information has been included. I agree to participate in the placement testing program.
Student:
Name
Date
Email


Please click one time on the Submit button below.
Thank you for submitting your application electronically. This saves a great amount of clerical time and improves accuracy.

A confirmation email will not be sent. Please print this page as your confirmation.

A service of Tempe Union High School District, AAR Department