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KIRBY ACADEMY FOR THE GIFTED
APPLICATION FORM
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PLEASE PRINT ALL TEXT
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First ______________________ MI ____ Last _______________________
Codename ________________________ Height __'__" Weight ______ lbs
DOB __/__/____ (MM/DD/YYYY) Approx. date of emergence __/__/___
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Highest grade completed __________________________
Educational status prior to attendance __________________________
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Description of gift(s) __________________________________________
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Reason for attending ____________________________________________
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Any other information relevant to your child's application?
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Parent or guardian's signature _________________________________
Date __/__/____ (MM/DD/YYYY)
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THANK YOU FOR YOUR APPLICATION
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[b]KIRBY ACADEMY FOR THE GIFTED[/b]
[b]APPLICATION FORM[/b]
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[b]PLEASE PRINT ALL TEXT[/b]
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[b]First[/b] ______________________ [b]MI[/b] ____ [b]Last[/b] _______________________
[b]Codename[/b] ________________________ [b]Height[/b] __'__" [b]Weight[/b] ______ lbs
[b]DOB[/b] __/__/____ (MM/DD/YYYY) [b]Approx. date of emergence[/b] __/__/___
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[b]Highest grade completed[/b] __________________________
[b]Educational status prior to attendance[/b] __________________________
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[b]Description of gift(s)[/b] __________________________________________
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[b]Reason for attending[/b] ____________________________________________
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[b]Any other information relevant to your child's application?[/b]
_________________________________________________________________
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[b]Parent or guardian's signature[/b] _________________________________
[b]Date[/b] __/__/____ (MM/DD/YYYY)
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[b]THANK YOU FOR YOUR APPLICATION[/b]
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KIRBY ACADEMY FOR THE GIFTED
APPLICATION FORM
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PLEASE PRINT ALL TEXT
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First Alan MI E Last Dougall
Codename Drow Height 5'11" Weight 188 lbs
DOB 11/ 1/1996 (MM/DD/YYYY) Approx. date of emergence 5/17/12
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Highest grade completed 9th
Educational status prior to attendance Expelled, behavioral
issues; 3.8 GPA prior to emergence, 1.6 at time of expulsion.
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Description of gift(s) According to the people who have studied
our son, he is bonded with a "magical symbiotic entity", usually
dormant and undetectable. When active, his skin becomes coal
black, his eyes and hair silver, he becomes stronger and more
agile, regenerates injury, and gains very heightened reflexes
from the symbiote's hypersensory awareness. He can camouflage
to all senses and pass through stone and earth unimpeded.
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Reason for attending Alan's performance in school has plummeted
since his "emergence". He was an excellent and driven student
when he was swimming, but his powers disqualify him from
competition and caused several records he held in his age group
to be tossed out. He's coped very negatively to date. It's our
hope that an environment like Kirby will help him get back on
track academically by helping him better understand his gift.
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Any other information relevant to your child's application?
The "drow" symbiote offers him no abilities while dormant and
is repelled by direct sunlight. Alan has no conscious control
over the transformation, so far it has only occurred when he is
injured or in high stress situations.
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Parent or guardian's signature Lauren Wallace / Archer Dougall
Date 11/20/2012 (MM/DD/YYYY)
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THANK YOU FOR YOUR APPLICATION
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KIRBY ACADEMY FOR THE GIFTED
APPLICATION FORM
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PLEASE PRINT ALL TEXT
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First Lucja MI Last Wójcik
Codename Pryzmat Height 5' 3" Weight 106 lbs
DOB 8/15/1996 (MM/DD/YYYY) Approx. date of emergence 9/ 7/2012
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Highest grade completed 9th
Educational status prior to attendance Not yet enrolled
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Description of gift(s) Collection and projection of light energy
Shields, constructs, and hard energy beams
Visible light only, as best we can tell, though we haven't tried
all kinds of light for obvious reasons; infrared, ultraviolet,
and radio definitely don't work.
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Reason for attending Worries that the power might endanger her or
others if she doesn't have the proper training.
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Any other information relevant to your child's application?
She has little warning before she exhausts her energy, and can
only release as much as she's taken in. Her powers don't weaken
as she runs low, but rather shut off abruptly once she's out.
Make sure she remembers this.
Also, be sure she also remembers that her eyes have no special
resistance to bright lights.
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Parent or guardian's signature Sabina Zielinski-Wójcik
Date 11/26/2012 (MM/DD/YYYY)
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THANK YOU FOR YOUR APPLICATION
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KIRBY ACADEMY FOR THE GIFTED
APPLICATION FORM
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PLEASE PRINT ALL TEXT
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First: Jeremy MI: B Last: Sharma
Codename: Panoram Height: 5' 4" Weight: 110 lbs
DOB: 1/ 2/1997 (MM/DD/YYYY) Approx. date of emergence: 12/24/2011
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Highest grade completed: 9th
Educational status prior to attendance: Good Standing
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Description of gift(s): Jeremy has displayed some control over
wavelengths. As of this time this has mostly manifested itself in
alteration and emission of light and sound. Other types have not
been fully tested.
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Reason for attending: Given our limited means and the potential for
accidents within our community we feel it would be best if Jeremy
were in an environment better suited for helping him learn control
over his abilities.
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Any other information relevant to your child's application?
Jeremy is an excellent student. We are confident that with the
proper support he will make good progress in control over his
abilities as well.
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Parent or guardian's signature Navin Sharma
Date 11/27/2012 (MM/DD/YYYY)
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THANK YOU FOR YOUR APPLICATION
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KIRBY ACADEMY FOR THE GIFTED
PERSONNEL FILE
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First ______________________ MI ____ Last _______________________
Codename ________________________ Height __'__" Weight ______ lbs
DOB __/__/____ (MM/DD/YYYY) Approx. date of emergence __/__/___
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Description of power(s) _________________________________________
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Subject(s) taught _______________________________________________
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Educational experience (if any) _________________________________
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[b]KIRBY ACADEMY FOR THE GIFTED[/b]
[b]PERSONNEL FILE[/b]
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[b]First[/b] ______________________ [b]MI[/b] ____ [b]Last[/b] _______________________
[b]Codename[/b] ________________________ [b]Height[/b] __'__" [b]Weight[/b] ______ lbs
[b]DOB[/b] __/__/____ (MM/DD/YYYY) [b]Approx. date of emergence[/b] __/__/___
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[b]Description of power(s)[/b] _________________________________________
_________________________________________________________________
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[b]Subject(s) taught[/b] _______________________________________________
_________________________________________________________________
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[b]Educational experience (if any)[/b] _________________________________
_________________________________________________________________
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KIRBY ACADEMY FOR THE GIFTED
PERSONNEL FILE
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First Noelle MI D Last Talbert
Codename Live Transmission Height 5' 6" Weight Nope! lbs
DOB 05/01/1985 (MM/DD/YYYY) Approx. date of emergence 07/19/1995
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Description of power(s)I can control broadcasting devices and radio
signals and get them to do what I want them to, like talk through
them or get them to bring back Thundercats. Yeah, that was me!
I also look great in tights if that counts.
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Subject(s) taught Technokinesis 101 and 102. Film appreciation, Film
production, radio production. I'm also liaison for the AV club,
cinema club, and anime club. Don't judge me.
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Educational experience (if any) I graduated from here with degrees in
Metahuman Education and Film Production. I was also the Kirby Academy
news anchor from Freshman to three years after I graduated.
Nobody noticed.
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KIRBY ACADEMY FOR THE GIFTED
APPLICATION FORM
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PLEASE PRINT ALL TEXT
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First Astella MI D Last Rappaport
Codename Bluebird Height 5_'5_" Weight Chassis-Dependent, 100~450 lbs
DOB 3/14/2015 (MM/DD/YYYY) Approx. date of emergence 12/25/2032
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Highest grade completed __10th___________________
Educational status prior to attendance Discontinued for medical reasons.
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Description of gift(s) Astella has been converted to a full-body cyborg
following a car accident during her second year in high-school. The bodies and
utilities therein are of our own design. She is capable of feats of strength, speed,
agility and endurance far beyond that of a normal human.
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Reason for attending Astella's unique position as being our first fully
operational human-cyborg conversion following her accident two years ago puts
her in a peculiar situation regarding schooling; she will need a change of environs
and we believed it best she attend a school with other unique individuals.
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Any other information relevant to your child's application?
Astella will require access to a larger storage room or unit, as we will be
shipping replacement and alternative bodies for her use during the time she
attends. We will also be shipping her re-charge station which is to be placed
in her intended room in lieu of a bed. She has been trained to perform her own
maintenance and checkups, and therefor will not require any assistance from your
medical personnel if damage should occur.
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Parent or guardian's signature __Judith and Simon Rappaport_______
Date 11/27/2012 (MM/DD/YYYY)
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THANK YOU FOR YOUR APPLICATION
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KIRBY ACADEMY FOR THE GIFTED
APPLICATION FORM
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PLEASE PRINT ALL TEXT
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First _Karif_______________ MI _L__ Last _Rigby________________
Codename _Rasp___________________ Height _5'11" Weight _165__ lbs
DOB 12/20/1996 (MM/DD/YYYY) Approx. date of emergence 11/30/2009
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Highest grade completed_9th______________________
Educational status prior to attendance _Good _standing___________
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Description of gift(s) Anything inorganic that Karif
touchescorrodes, very quickly, even in environments that make this
impossible. Skin contact to metal causes oxidation, and eventually
forms of corrosion that overcome galvanisation and protection.
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The more organic (more carbon) that a property has in it, the more
it's able to resist this effect, with wood and flesh being best.
Karif can't wear inorganic fibre or it just rots, and his belt
buckles and shoe fittings have to be leather, wood, or bone.
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Reason for attending _Karif needs an environment in which
his special needs for physical contact don't cause problems or
harm to school property. Also, as a byproduct of his appearance
and his ability to cause damage to his environment, we seek ways
to ensure that he does not have any reason to fly within the US.
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Karif's school progress so far has been extremely stilted, and
rapidly more socially withdrawn. We hope that that the Kirby
academy's inclusive schedule and differentiated students will be
a good influence and help keep our son from becoming more with-
drawn than he already is.________________________________________
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Any other information relevant to your child's application?
Karif boxes, but usually alone. Thanks to his large size for his
age and his weight, he tends to focus on solitary, individual
tasks. We know he can cooperate, and know that he's capable of
being a contributing student, we just want him to have a chance
to not feel like a stranger in his own home. ____________________
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Also please forgive this late application._______________________
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Parent or guardian's signature _Jessenia Rigby____________
Date 12/11/2012 (MM/DD/YYYY)
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THANK YOU FOR YOUR APPLICATION
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Visavis wrote:The Unfortunates
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