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GSA 2017 Application Part I

Student Information

First Name: *

Middle Name:

Last Name: *

Nickname:

Birth Date: * Use the format in the example below
Select a date from the calendar.
T-Shirt Size: *

Gender: *

Race:
The Governor's Schools of West Virginia have an equal opportunity policy and do not discriminate on the basis of race, color, natural origin, religion, sex or disability.

Address Information

Address: *

Apartment Unit:

City: *

State: *

Postal Code: *

County:

Contact Information

Home Phone: *

Cell Phone:

Active Email Address: *

School Information

High School: *

Principal's Name: *

School Phone: *

Ninth Grade GPA: *

First Nine-Weeks GPA 10th Grade: *

Family Contact Information

Parents' Names:

Father's Home Phone if Different from Yours:

Father's Work Phone:

Father's Cell Phone:

Mother's Home Phone if Different from Yours:

Mother's Work Phone:

Mother's Cell Phone:

Arts Area for Which I Am Applying *


If Instrumental Music, what instrument/s?

Audition

Choose the date and site you prefer for your audition. Choose wisely, because making later changes to the schedule will be difficult.

Schedule Audition for:


Print Confirmation

If, after clicking "submit," the page does not change, look back over your application for errors or incomplete blanks. If your application transmits successfully, you will receive a pop-up message thanking you for applying to the Governor's School for the Arts. Print the confirmation page (CTRL-P) and attach it to the top of the paper application.

Attachments
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