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Kansas Academy of Mathematics and Science

Application Due by January 1, 2013

Applicant's Name  
Preferred Name  
Applicant's Home Address:    
Applicant's Mailing Address
(if different) 		   
City/State/Zip:  ,          
Applicant's Home Phone:  
Applicant's Cell Phone:    
Date of Birth:      
Social Security #:  
Applicant's E-mail:   
(most communications will be via e-mail)
Father/Guardian's Name:  
Father/Guardian's Cell #:  
Father's/Guardian's E-mail:  
Mother/Guardian's Name:  
Mother/Guardian's Cell #:  
Mother/Guardian's E-mail      
I live with: if other - who do you live with:

 
School Name:    
School Address:    
School City/State:   ,   
Principal's Name:    
Superintendent's Name:    
Hometown Newspaper:      City        
High School Designation
                       note: if you do not attend a public school in Kansas, tuition costs will be your responsibility
Current Grade Level     If not in 10th grade, please e-mail kams@fhsu.edu and explain
What was your FIRST information source about KAMS?  
Have you attended an Information Session?
                      
Have you attended Preview Day?
                      

Download theapplication and complete section 2,3 and submit evaluations to teachers, counselor and mentor and the Official School Records form to an administrator at your school.