TalentCODEAcademy APPLICATION

Student Name ______________________________________ Age _______ Birthdate _____ _____ ______

Parent Name(s)_______________________________________ ; _______________________________Occupations ____________________________

Student’s Biggest Dream ______________________________ Most Passionate Study area __________________ Present time per week __________

Parent’s Biggest Dream _____________________________________

Phone ___________________________  EMail: _______________________________

Residence __________________________________ _________________________ ___________

Language Arts Score: _____________________     Name of Test ____________________________

Math Score: ________________________               Name of Test ____________________________

Science Score: ________________________           Name of Test ____________________________

Reading Score: ________________________           Name of Test ____________________________

GPA _________________ ACT Cumulative _____________ SAT Cumulative __________

Annual Educational Budget: __________  Do you receive State funds for home schoolers? _____ If so, which charter _____________________________

How many hours a week do you dedicate to formal study?: ____________ 

How many hours a week do you study exactly what YOU want to study? __________.  What is it you LOVE to learn? ______________

Biography from birth to present: (feel free to use more paper)

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What’s the coolest dream/goal you have for your life?

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Parent Occupations: _________________________________________________  ____________________________________________________

Brothers and sisters names and ages _______________________________________________

Extraordinary friends, family, and heroes ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please Tell us more. e-mail Steve directly at Steve@talentcodeacademy.com