Student's First Name
First Name
Middle Initial
Last name
January February March April May June July August September October November December Select Month
Day
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Year
1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Select Year
Gender
Male Female
Ethnicity (optional)
Hispanic Black, not Hispanic Asian or Pacific Islander White, not Hispanic American Indian or Alaskan Native Other (Click here to choose)
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Ethnicity - Other
Street City State Zipcode
Telephone ()
Tempe Elementary Kyrene Chandler Mesa Phoenix Other
If you chose “Other” in the question above, please enter the district name.
Altadena Aprende Akimel A-al Centenial Connolly Gilliland Grace Community Fees Kyrene Kyrene del Pueblo Laird Mt. Carmel Ward Other (Click here for choices)
If you chose “Other” in the question above, please enter.
Current School
6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Other (Click here to choose)
Current Grade
Saturday, September 8 at McClintock High School at 9am Saturday, September 15 at McClintock High School at 9am Saturday, September 22 at McClintock High School at 9am Saturday, September 29 at McClintock High School at 9am Saturday, October 20 at McClintock High School at 9am Saturday, October 27 at McClintock High School at 9am Thursday, November 1 at McClintock High School at 3:30pm Saturday, November 3 at McClintock High School at 9am Wednesday, November 7 at McClintock High School at 3:30pm Saturday, January 26 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?
Compadre Corona del Sol Desert Vista Marcos de Niza McClintock Mountain Pointe Payne Academy Tempe H.S. Other (Click here to choose)
If you chose “Other” in the question above, please enter the high school name.
Which high school does the student plan to attend?
Compadre Corona del Sol Desert Vista Marcos de Niza McClintock Mountain Pointe Payne Academy Tempe H.S. (Click here to choose)
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