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Quest Program Application
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Quest - Highly Capable
Elementary Quest
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Quest Program Application Form
For Kindergarten - 5th Grade Students
*
indicates a required input
Student Information
First Name:
*
Last Name:
*
Middle Name/Initial:
Birthday: (mm/dd/yyyy)
*
Gender:
*
select one...
Male
Female
Current Grade:
*
select one...
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
School Information
Private School: (if it applies)
Neighborhood LWSD School:
*
select one...
Alcott
Audubon
Bell
Blackwell
Carson
Community
Dickinson
Discovery
Einstein
Environmental
Evergreen
Explorer
Finn Hill
Franklin
Frost
Inglewood
International
Juanita
Kamiakin
Keller
Kirk
Kirkland
Lakeview
Mann
McAuliffe
Mead
Muir
Northstar
Redmond Elem.
Redmond Junior
Renaissance
Rockwell
Rosa Parks
Rose Hill Elem.
Rose Hill Junior
Rush
Sandburg
Smith
Stella Schola
Thoreau
Twain
Wilder
Private school address: (if it applies)
Current school teacher:
*
Student special programs:
IEP
504 Plan
ELL
Student other special needs/accommodations:
Previous gifted participation:
Primary Guardian Information
First Name:
*
Last Name:
*
Middle Name/Initial:
Street address:
*
City:
*
State:
*
Zip Code:
*
Home Phone:
*
Work/Cell Phone:
*
Other Phone:
Email:
*
Secondary Guardian Information
First Name:
Last Name:
Middle Name/Initial:
Street address:
City:
State:
Zip Code:
Home Phone:
Work/Cell Phone:
Other Phone:
Email:
Signature:  
Date:  
Signature and Date are for printed paper copy only
For printing purposes you must be connected to a printer
Before
submitting this electronic form, please click the
Print Form
button below to print. Sign then mail your printed application to the Quest office. If your student's information does not appear in the print-friendly form, close the print window and use the Print menu of the Quest Program Application Form window to print. Then sign and mail the printed paper copy of the form to the Quest office. After printing click on the Submit Your Application button to send your application to the Quest office.
L.E.Scarr Resource Center
Attention: QUEST Office
P.O. Box 97039
Redmond, WA 98073-9739
© 2009 Lake Washington School District. All rights reserved.
How Do I...
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(425) 702-3200 | 16250 NE 74th St, Redmond, WA 98052 | P.O. Box 97039, Redmond, WA 98073
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