East Palo Alto Tennis and Tutoring (EPATT) Application for Admission Solicitud para Participacion

1) Parent Information/Informacion Familiar

Name of Mother/Guardian Nombre de Madre

Mother's Work Phone/Tel. Trabajo/Madre

Mother's Email

Mother's Cellphone Phone/Tel. Cellular de Madre

Name of Father/Guardian Nombre de Padre

Father's Work Phone/Tel. Trabajo/Padre

Father's Email

Father's Cellphone Phone/Tel. Cellular de Padre

Street Address of Child's home/Direccion

City/Ciudad

Zip/Codigo Postal

Home Phone/Telefono en Casa

Number of people in child's household: El numero de personas en la casa de nino:

2 People 3 People 4 People 5 People 6 People 7 People 8 People 9 People 10 People More than 10

Who does the child live with? Con quien vive el nino?

Total Household Income per year: Las ganacias totales de la casa en un ano:

Mother & Father Mother Father Grandparent Guardian Other

$0-$20,000 $21,000-$30,000 $31,000-$40,000 $41,000-$50,000 $51,000-$60,000 $61,000-$70,000 $71,000-$80,000 More than $80,000

2) List all children applying to EPATT/ Liste los nombres de los ninos que aplican al programa

Place of Birth/ Lugar de Nacimiento

Child's Name/ Nombre

Grade/ Grado

Date of Birth/ Fecha de Nacimiento

School/ Escuela

3) Short Answers/Preguntas

What do you think EPATT can do for your child that you can't do yourself? Que piensa usted que EPATT puede hacer para su nino que usted no puede hacer usted mismo?

What have you done to help your child succeed academically? Que ha hecho usted ayudar su nino triunfa academicamente?

4)Report Cards and Test Scores/Tarjeta de Calificaciones y Examenes In addition to submitting this form, YOU MUST send this application with a complete copy of report cards, test scores, etc. for each child to: Mande esta aplicacion con una copia completa de tarjetas de calificaciones y los examenes para cada nino a:

EPATT c/o Academic Director Dept. of Athletics Stanford University Stanford, CA 94305-6150

5)How did you hear about EPATT? Como encontro usted el programa de EPATT?

Relative/Un pariente Friend/Amigo Teacher/Maestro Boss/Jefe Coworker/Colaborador Internet