Section I. To be completed by student or parent  
 

Section II. To be completed by student  
 

Section III. To be completed by student and parent(s)  
 

Educational Records Request  
 

Copy of official transcript requested from high school  
 

Copy of ACT scores requested from high school  
 

Social Security Number recorded on all requested forms  
 

Social Security Number recorded on any additional pages attached  
 

Application signed by student and parent(s)  
 

Recommentations from teachers and counselor

 
   

_____ Counselor
_____ English Teacher
_____ Mathematics Teacher
_____ Science Teacher

     
 

Application accepted through March 12, 2010.

 
     
 

Completed application and support materials should be returned to local high school counselor by March 10, 2010. Counselors must then have applications turned in no later than March 12, 2010.