Culver City Middle School

Advancement via Individual Determination

APPLICATION PACKET

Packet Includes:
1) Description of AVID-Is AVID for You?
2) Student Contact Information
3) Parent/Student Information
4) Student Short Answer Questions
5) Language Arts Teacher Recommendation Form
6) Mathematics Teacher Recommendation Form

COMPLETE APPLICATION AND TURN INTO MRS. MONROY OR AVID

APPLICATION BOX IN THE FRONT OFFICE
NO LATER THAN 3:00 P.M. ON APRIL 21, 2017.

Itzel Mendoza, AVID Coordinator Christina Monroy, AVID Counselor

itzelmendoza@ccusd.org christinamonroy@ccusd.org

Haylei Torres, AVID Coordinator Christina Halloran, AVID Teacher

hayleitorres@ccusd.org christinahalloran@ccusd.org

Tricia Owens, AVID Teacher

triciaowens@ccusd.org

Your complete application must be turned into Mrs. Monroy in the Front Office by 3:00 p.m. on Friday, April 21, 2017.
 Is AVID for You?
What is AVID?
AVID stands for Advancement Via Individual
Determination and is an elective class that
prepares students in the middle, with academic
potential, for success in advanced high school
classes and in college.
What are AVID Student Expectations?
Maintain at least a C average.
Show great citizenship and attendance.
Maintain an organized binder.
Take Cornell notes in class.
Participate in weekly tutorials.
Attend AVID field trips.
Write, Question, Collaborate, and Read.
Be a well-rounded student.
Note: All AVID students ARE HIGHLY
ENCOURAGED to take one higher-level
math or language arts class, in addition to
their AVID elective.
What are AVID Parent Expectations?
AVID parents are expected to encourage their
students to achieve academically, to maintain
regular contact with the AVID teacher, and to
become involved in the activities of the AVID
program.
Your complete application must be turned into Mrs. Monroy in the Front Office by 3:00 p.m. on Friday, April 21, 2017.
What happens in the AVID Program?
The AVID Elective Program is three-pronged:
Students receive academic instruction in
writing, note taking, studying, test taking,
and organizing.
Students receive academic support from
tutors through collaborative tutorial
groups, and peer counseling.
Students are motivated to pursue academic
excellence through goal setting, rigorous
classes, cultural and college field trips,
classroom guest speakers and enrichment
activities, and AVID team building.
What are AVID Results?
In 2014, over 71% of students who
graduated from AVID programs enrolled in
four-year colleges and universities directly
out of high school. Two years later, 85% are
still enrolled. Both of these results are higher
than national averages for graduating
seniors.*
* AVID Senior Data available at: http://www.avid.org/avid-impact.ashx
 Student Contact Information

STUDENT: Please complete the following application to be considered as a member of the AVID elective program.
Please return your completed application to the Front Office no later than 3:00 p.m. on Friday, April 21, 2017. Final
acceptance will be determined upon completion of an interview. [Please Print with Blue or Black Ink]

Name: _______________________________________________________________________________________
Last First Middle

______________________________________________________________________________________
Student I.D. # Current Grade Level
Address: _____________________________________________________________________________________
Number and Street City Zip Code

Parent or Guardians Name: ________________________________ Phone: ___________________________

Current Class Schedule: Print schedule as it appears on transcript/report card.

***If the class is an honors class please note.
Period Class Teacher Last Quarter Grade

Previously Enrolled in AVID? __ yes ___no

How did you hear about AVID? ___Elective Wheel ___ Classroom Presentation ___Open House
___ Parent Meeting ___ AVID Breakfast ___Current AVID Student __ Other:____________________

Your complete application must be turned into Mrs. Monroy in the Front Office by 3:00 p.m. on Friday, April 21, 2017.
 Parent/Student Information
This information will assist us in identifying possible candidates who best fit the AVID profile. Please complete the
following questionnaire. This information is confidential and will only be used by the AVID site team for placement.

1. Parent/Guardians Highest Educational Level

Parent/Guardian #1:___________________________ Parent/Guardian #2:___________________________
Full Name Full Name

Did not graduate high school Did not graduate high school
Graduated high school Graduated high school
Went to Community/Junior College Went to Community/Junior College
Completed some work at a college/university Completed some work at a college/university
Graduated from a university in the United States Graduated from a university in the United States
Graduated from a university in another country Graduated from a university in another country
Has a Masters Degree or PhD Has a Masters Degree or PhD
Notes:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

2. Ethnic Background (Optional. Mark all that apply.)

African American Hispanic/ Latino
American Indian/ Alaska Native White/ non-Hispanic
Asian Multi-racial
Pacific Islander Other: ________________________
Filipino

3. Student gender Female Male

4. Supplemental Criteria: What other languages do you speak at home?

__________________________________________________________________________________________
5. Supplemental Criteria: Please record any challenges or circumstances you have faced (optional).
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
To the best of my knowledge, all information is provided on this form is correct. I support my childs interest
in joining the AVID program in the Culver City Unified School District.

_________________________________________ ________________________________________
Student Signature Parent/Guardian Signature

Your complete application must be turned into Mrs. Monroy in the Front Office by 3:00 p.m. on Friday, April 21, 2017.
Student Name: ______________________________________ Grade:___________

Student Short Answer Questions

Directions: Please legibly and thoroughly answer all questions below in complete sentences.
1. What do you like the most about school? What do you like least about school? Explain.

2. Are you involved in any extracurricular activities at CCMS or outside of CCMS? Explain.

3. What about the AVID program appeals to you? If you previously participated AVID, what did you gain
from the experience and why do you want to continue? What makes you a strong candidate for the AVID
program?

4. What is the biggest obstacle you have ever had to overcome and how did you do it?

5. What are your academic goals for the future?

6. Why do you believe college to be important? Will you be the first member of your family to go to
college? If so, how does that make you feel?

Your complete application must be turned into Mrs. Monroy in the Front Office by 3:00 p.m. on Friday, April 21, 2017.
 Language Arts Teacher Recommendation Form
Student: Before giving this form to your teacher, please fill in teacher name, your name and student number.

Teacher: Please directly return recommendation form to Christina Monroy in the Front Office by 3:00
p.m. on Friday, April 21, 2017. Thank you for your time.
Teacher Name _____________________________________________ Date _____________
Potential AVID Student Name _____________________________________ Student #___________________

What AVID is... What AVID is NOT ...

for students with college potential an at-risk program for unmotivated students
for students with middle to high test scores a quick fix for student problems
for students who are already motivated to succeed a study hall class
easy

Please take a few minutes to answer the following questions:

Yes Sometimes No

1 Does this student have average to above-average skills in general?

2 Does this student appear to need assistance with reading strategies to improve
comprehension?

3 Do you believe this student is working up to his/her potential?

4 Does this student display good classroom work habits?

5 Does this student practice good citizenship?

6 Does this student seem to have college potential, if given tutorial support?

7 The quality of home and class work is very good.

8 Do you feel this student would be successful in honors, if

given appropriate support?

9 Is this student motivated to succeed?

___I recommend this student for placement in the AVID Program. Please briefly explain why. _____________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
___I do not recommend this student for AVID. Please briefly explain why.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Your complete application must be turned into Mrs. Monroy in the Front Office by 3:00 p.m. on Friday, April 21, 2017.
 Mathematics Teacher Recommendation Form
Student: Before giving this form to your teacher, please fill in teacher name, your name and student number.

Teacher: Please directly return recommendation form to Christina Monroy in the Front Office by 3:00
p.m. on Friday, April 21, 2017. Thank you for your time.
Teacher Name _____________________________________________ Date ____________________
Potential AVID Student Name ______________________________________ Student #__________________

What AVID is... What AVID is NOT ...

for students with college potential an at-risk program for unmotivated students
for students with middle to high test scores a quick fix for student problems
for students who are already motivated to succeed a study hall class
easy

Please take a few minutes to answer the following questions:

Yes Sometimes No

1 Does this student have average to above-average skills in general?

2 Does this student appear to need assistance with mathematical reasoning?

3 Do you believe this student is working up to his/her potential?

4 Does this student display good classroom work habits?

5 Does this student practice good citizenship?

6 Does this student seem to have college potential, if given tutorial support?

7 The quality of home and class work is very good.

8 Do you feel this student would be successful in honors, if given appropriate

support?

9 Is this student motivated to succeed?

___I recommend this student for placement in the AVID Program. Please briefly explain why.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
___I do not recommend this student for AVID. Please briefly explain why.
__________________________________________________________________________________________
__________________________________________________________________________________________

Your complete application must be turned into Mrs. Monroy in the Front Office by 3:00 p.m. on Friday, April 21, 2017.