Newman Smith
High School
Science/Engineering Pathway Application
You must reside in the
Newman Smith attendance zone to apply.
Personal Data
(Please Print)
Name Date
__________
Address_____________________________________________________
City
____________________________ TX Zip___________
Home Telephone
(____)____________ Age _____
Birth date ___/____/______
Current School __________________________
Grade level____Student ID number
______________
Father’s Name _____________________
Work phone (____) ______________
Father's E-mail
_________________________________________
Mother’s Name
______________________ Work phone
(____)______________
Mother’s
E-mail__________________________________________
Completion and enclosure of
the following items are mandatory for admission to the
Science/Engineering Pathway at Newman Smith High School. Please
complete and return with the following items to your counselor
by Thursday, February 15, 2007.
Check the academic areas of
your interest (as many as apply to you)
_____ Biology
_____Chemistry _____Geology
_____ Physics
_____ Math _____ Computer science
_____ Others (list)
_____________________________________________
Check the types of engineering fields that
interest you (as many as needed)
