First Name: Last Name:

  Date of birth: Student's current grade level: 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Kindergarten

  How did you hear about PALO? Internet Commercial Friend Guidance Counselor/School Television Newspaper Other

  What school district do you live in?
 

  Do you currently have Internet in your house? No Yes

  Parent or Guardian's contact number:

  Parent or Guardian's E-mail:

  How many days of school have you been absent during this school year?

  Are you currently expelled from your school district? No Yes

  List three things you like best about your current school, and three things you
  like least about your current school:
 

  List all of the ways you use a computer in your daily life:
 

  DIRECTIONS: Review the PALO website and think about how you learn. Write
  an essay on how being a student at PALO will help you reach your
  educational goals.

• Read the directions carefully

• Use examples from the website

• Use complete sentences

• Use correct capitalization, spelling, sentence structure, punctuation, and grammar

• Students in grades 7-12 have a 200 word minimum requirement