HUDA PREP INTAKE FORM
Name *
Name
Gender *
Date of birth *
Date of birth
Parent's/Guardian's name *
Parent's/Guardian's name
Parent's/Guardian's cell phone number *
Parent's/Guardian's cell phone number
Mailing address *
Mailing address
Every student admitted to the Huda Prep Program must take and pass our diagnostic test. Select an option from the following list:
ACADEMIC RECORDS
Fill out as accurately as you can. However, this section is NOT required to submit this application. Only sections marked by an asterisk (*) are required for submission.
Please enter each marking period's ELA grade (out of 100) OR an average of all of those ELA grades.
Please enter each marking period's Math grade (out of 100) OR an average of all of those Math grades.
Please enter each marking period's Science grade (out of 100) OR an average of all of those Science grades.
Please enter each marking period's SS grade (out of 100) OR an average of all of those SS grades.
See report card(s) to calculate.
See report card(s) to calculate.
MISCELLANEOUS
Test-taking Habits *
What do you often find yourself doing during tests? Check all the boxes that apply.
Specialized and non-specialized.
If "yes", please describe briefly needed accommodations. If "no", simply type "no".
Choose from the list.