Search for Exceptional Academic Achievement (SEAA) Talent Search @ Cal State L.A.

Search for Exceptional Academic Achievement (SEAA)

APPLICATION

SUNDAY, March 1, 2009 1:00 P.M.

Please print clearly and fill in all blanks

NAME (last)_____________________(first)________________________(mi)________

ADDRESS________________________________________________________

CITY, STATE & ZIP____________________________ PHONE____________________

EMAIL_____________________________ Re-write e-mail______________________________

AGE____________GRADE__________GENDER_________BIRTHDATE_________________

PARENT NAME_______________________ EMAIL______________________________

Re-write parent e-mail___________________________________________

*Check to release score information to the SEAA for university special program consideration

SCHOOL and LOCATION (city) _____________________________________________

NAME OF PERSON WHO GAVE YOU THIS APPLICATION____________________________

CIRCLE ONE: Teacher/GATE Coordinator/Principal/EEP/Other: _______________________________

HAVE YOU EVER PARTICIPATED IN THE SEAA BEFORE? Yes____ No____ If YES, when_______

Be sure that you have answered all the questions and that your writing is legible.

Mail this application with a check or money order for $50.00 payable to CSULA

Test Fees are Non-Refundable and Non-Transferable

To: Richard S. Maddox, Director, Early Entrance Program

Department of Psychology

California State University, Los Angeles

5151 State University Drive

Los Angeles, CA 90032-8227

Applications must be received by Friday, February 20, 2009

SEND IT NOW BEFORE YOU FORGET!

You should receive detailed info in an e-mail about the test and where to report

prior to the test date.

Students should plan to be on campus by 12:30 p.m. so we may begin on time.

NOTE: Email addresses are used for distributing info regarding this testing event and talent search opportunities. We do not relay or release info to outside sources.