AS OPENINGS OCCUR, A LOTTERY WILL BE CONDUCTED TO DETERMINE PLACEMENT
Application Period #1: January 7, 2013-February 22, 2013
Application Period #2 March 4, 2013- March 31, 2013
Male
Female
Birth Date
Birth City and State
Address
City
Zip Code
Student Email Address
Parent Email Address
Father's Name
Father's Work#
Father's Cell#
Mother's Name
Mother's Work#
Mother's Cell#
Is parent/guardian a VUSD employee?
Yes
No
Location:
Is there a sibling currently attending a VUSD Magnet School?
Yes
No
Siblings are defined as brother, sister, half-brother, half-sister,
step-brother or step-sister living in the same household.
If yes, Sibling's name
Birthdate
Grade Level
Student ID#
Parent Education Level:
Not HS Graduate
Some College
Grad School/Post Grad training
HS Graduate
College graduate
Decline to state
Which language does the student use most frequently at home?
Which language do you use most frequently with the student?
Which language is most often spoken by adults in the home?
Which language did the student learn when he/she first began to speak?
Present School District
Present School of Attendance
Present Grade
Next Grade
Home middle School
Has your child ever attended a school in Vista Unified
Yes
No
If yes, which school
Conduct
Is this student currently under expulsion?
Yes
No
Has this student ever been expelled?
Yes
No
If yes, indicate offense:
Is this student on a SARB contract:
Yes
No
My child is currently receiving the following services:
Speech/Language
Special Day Class
RSP
504 Plan
I would like my child to attend this magnet school because:
Ethnicity: (Please check one)
American Indian/Alaskan Native
Filipino
Hispanic
African-American
White
Other/Declined to State
Asian/East Indian -
Pacific Islander -
Select One:
Chinese,
Japanese,
Korean,
Vietnamese,
Asian Indian,
Laotian,
Cambodian,
Other Asian
Select One:
Hawaiian,
Guamanian,
Samoan,
Tahitian,
Other Pacific Island
Students are expected to have excellent attendance and become actively involved in school. Excessive absences,
tardies, poor behavior, or non-participation in the arts may result in withdrawal of your student's magnet status
at the end of the school year. Aligned with our district policy of 100% family participation; family involvement
in school activities and in your child's education is expected at Mission Vista High School.