Give us and ‘A’ Application

Student Name
First Last
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Grade Level
- K - 2nd Grade
- 3rd - 5th Grade
- 6th - 8th Grade
- 9th - 12th Grade
Please indicate the grade level of the child submitting the report card
Upload Report Card
Please upload a copy of the report card with the A's circled.