PARENT INFORMATION
Parent/Guardian Name (First/Last):
Relationship to Child:
Street Address:
City/State/Zip:
Home Phone: Daytime Phone:
Email: Best means of contact:
STUDENT INFORMATION
Student Name (First/Middle/Last):
Date of Birth (Month/Date/Year): Gender: Male Female
Applying for Grade: 6 7 8 9 Current School :
 
Current GPA:
Name of Sibling* eligible to attend MATHS:
Applying for Grade:
[* Please fill out a separate application for each sibling]		 6 7 8 9 Current School :
How did you hear about MATHS?
Which of the following reflect your primary interest in MATHS? (Check all that apply)
Increase opportunity for academic success Lower Student: Teacher Ratio
Health Science/Technology emphasis Opportunity for involvement
Other  

Do you wish to share any additional information about your child that will help the admissions committee?

Statement of Equal Opportunity
MATHS will not discriminate on the basis of race, color, sex, age, national origin, religion, disability, or any other legally protected classification in administration of its educational policies, admissions policies or athletic and other school-administered programs.

 

v 4701 Greenspring Avenue, 4th Floor, Baltimore MD 21209 v T: 410.545.0955 v
F: 410.396-0338v E-mail: mathsbaltimore@yahoo.com  v Web-site: www.mathsbaltimore.org v