Denver Public Schools
Smiley Middle School
International Preparatory Magnet
Application Form
(Please Print)
Present Grade ___
Name:_______________________________________ Student ID: ___________________ Sex: _______
(Last Name) (First Name)
Street Address:_____________________________________ Home phone:_________________________
City: ___________________ State:____________________ Zip Code: ____________________________
Date of Birth: _______________________ State/Country of birth: ________________________________
(Month/Day/Year) (State/Country)
Ethnicity: __Amer. Indian __ African Amer. __Asian __Hispanic __White Language Spoken:__________
Current School: ___________________________ Denver Neighborhood Middle School:______________
Do you already play an instrument?(Yes or No) _______________ Are you interested in band?(Yes or No)
(Instrument)
Person to contact:
Mother’s Name: ___________________________ Mother’s Phone Number: _________________
Father’s Name: ____________________________Father’s Phone Number: __________________
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An official copy of the most recent ITBS and or CSAP test scores from your school, along with a copy of the most recent report card must be attached, and the teacher recommendation form must be received at Smiley in order for the application to be considered. |
All applications and teacher recommendations must be returned to the address below
Smiley Middle School
Attn: IPM Application
2540 Holly St.
Denver, Co 80207
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A math test and writing sample will be given on the following dates. No appointment necessary just show up. These tests must be taken to determine if an interview will be granted. |
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Office Use Only
ITBS Standardized Test CSAP Standardized Test Name of Standardized Test Grade when taken: ____ Grade when taken: ____ Grade when taken: ______ ____Reading Comprehension % ____Reading _____Ravens ____Language Total % ____Writing _____COGAT ____Math Total % ____Math _____Other___________ ____Composite %
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