Application La Vega Early College High School Application

Transcription

1 2014 Application La Vega Early College High School Application LVISD

2 Application for Admission School Information In Spring, 2014, the La Vega Independent School District developed the La Vega Early College High School (LVECHS). This unique school is specifically designed to provide students the opportunity to begin college during the ninth grade. This school redefines the typical comprehensive high school experience by providing a school-within-a-school setting housed within La Vega High School. This program enables students to progress seamlessly from the ninth grade through the first two years of college earning both their high school Distinguished Diploma and their Associates Degree and/or required certifications. Section A. Student Information Name: Male Female Last First Middle Current Address Date Of Birth Current Grade: (Month/Day/Year): Student Cell Phone: Student Social Security Number: Student Address: If applicable, name of sibling/relative attending LVECHS: The name of the person(s) with whom you reside: Relationship of the person(s) with whom you reside: How did you hear about Challenge ECHS? Do you currently participate in any special programs? Please check all that apply: Gifted/Talented Dyslexia/504 Special Education Speech Bilingual/ESL Migrant Please check one: African American Asian/Pacific Islander Hispanic White Other (Please specify) Student Survey 1. What language is spoken most in the home? 2. Do you currently receive free and/or reduced lunch? Yes No 3. How many days of school have you missed this school year? 4. How many discipline referrals have you had this school year? 5. Are you the oldest child? If not, what is your birth order? 6. How many brothers/sisters do you have? sisters brothers 7. Has anyone attended college in your immediate family (brother, sister, mom, or dad)? Yes If yes, please identify Associates Bachelors Some hours No 8. Do you have a computer at home? Yes If yes, do you have access to the internet? No 9. How many books have you read this school year? Yes No

3 Application for Admission Section B. Parent Information Parent/Guardian Name: Social Security Number (Optional): Address: City/State/Zip Code Home Phone: Parent/Guardian Work Phone: Parent/Guardian Cell Phone: Parent/Guardian Address: Parent/Guardian Alternate

4 Section C. Student Response Applicant, please answer the following questions in your own handwriting. 1. Why do you want to attend LVECHS instead of a traditional high school? What do you want your high school experience to entail (academics, extra-curricular, student government)? 2. Please describe a relationship with a teacher that offered you a challenge. How would this experience help you be successful at LVECHS? 1. Represent yourself in the box below (write, draw, collage, etc): 2

5 Section C. Parent Response The following questions should be answered by the parent/guardian of the applicant. 1. Why do you want your child to attend La Vega Early College High School? 2. What do you see as your child s greatest strength? 3. Please comment on your child s relationship with family members, teachers, and mentors who have influenced his/her development. Section D. Selection Process Applications must be submitted and/or postmarked no later than May 15, All applications received after the deadline will be processed and placed directly on the wait list. Students who qualify and submit completed applications by the deadline will be placed into a lottery for admissions consideration. RETURN COMPLETED APPLICATIONS TO: REMEMBER La Vega Early College High School Attention: Admissions Coordinator MAIL: 555 North Loop 340 Waco, Texas PHONE: FAX: Completed applications and ALL required documents must be submitted and/or postmarked by May 15,

6 FOR ALL ADMISSION Completed Application (all sections) Current health record (Shot record ) REQUIRED ITEMS CHECKLIST Proof of residency (lease agreement, gas, electrical, or water bill) Required Items Checklist Page (this page) Two Academic Reference Forms from an English, Math, Science, or Social Studies Teacher (This form must be sealed and returned by May 15, 2015). Please include copies of all paperwork from the current and previous school year concerning any of the following. If this does not apply, please write n/a in the spaces provided. In order to properly serve our students, we cannot accept documentation after the start of school. FOR 9 TH GRADE ADMISSION: A copy of all district and state achievement test scores for the 7 th grade year. The student s report card for the end of the 7 th grade year. A copy of the student s 8 th grade report card (most recent cycle). FOR 10 TH GRADE ADMISSION (Not applicable for 2015): A copy of all district and state achievement test scores for the 8 th grade year. The student s end of year report card for the 8 th grade year. A copy of the student s 9 th grade report card (most recent cycle). An unofficial copy of the student s current transcript. By signing below, I acknowledge and agree that an incomplete application or failure to submit ALL required documentation will void the application, resulting in removal from admission consideration. Parent Signature: Date: Student Signature: Date: It is the policy of the La Vega Independent School District not to discriminate on the basis of age, color, handicap or disability, ancestry, national origin, marital status, race, religion, sex, veteran status or political affiliation in its education or employment programs and activities, as required by Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; and Section 504 of the Rehabilitation Act of 1973; as amended. 4

7 LA VEGA INDEPENDENT SCHOOL DISTRICT Waco, Texas LA VEGA EARLY COLLEGE HIGH SCHOOL Teacher Recommendation Form I hereby give you permission to complete the following reference request furnished by La Vega Independent School District and to forward the completed form to LVISD. I understand that this information will become part of my application and is considered CONFIDENTIAL and will not be revealed to me. Student s Name: - First Name Last Name School application. NOTE: This form is to remain CONFIDENTIAL. It should be submitted in a SEALED ENVELOPE with the The student named above is applying for admission to the La Vega Early College High School. A forthright evaluation is extremely helpful in choosing among high qualified candidates. Please evaluate the student applicant by checking the appropriate column. Academic Characteristics Often Occasionally Rarely Cannot Evaluate Accepts responsibility for learning Makes decisions independent of peers Works well with peers Communicates ideas effectively Completes tasks Works independently Accepts personal responsibility for actions Accepts academic challenges Has interests beyond the classroom Shows respect for authority Social/Emotional Characteristics Strong Good Average Fair Cannot Evaluate Emotional Stability Creativity Adaptability Judgment/Common Sense Maturity Patience with others Leadership Initiative/Enthusiasm Motivation Thoughtfulness Integrity/Honesty What other insights/comments do you wish to convey to the Admissions Review Committee regarding this applicant? Teacher s Name (please print) School Date 5

8 LA VEGA INDEPENDENT SCHOOL DISTRICT Waco, Texas LA VEGA EARLY COLLEGE HIGH SCHOOL Teacher Recommendation Form I hereby give you permission to complete the following reference request furnished by La Vega Independent School District and to forward the completed form to LVISD. I understand that this information will become part of my application and is considered CONFIDENTIAL and will not be revealed to me. Student s Name: - First Name Last Name School application. NOTE: This form is to remain CONFIDENTIAL. It should be submitted in a SEALED ENVELOPE with the The student named above is applying for admission to the La Vega Early College High School. A forthright evaluation is extremely helpful in choosing among high qualified candidates. Please evaluate the student applicant by checking the appropriate column. Academic Characteristics Often Occasionally Rarely Cannot Evaluate Accepts responsibility for learning Makes decisions independent of peers Works well with peers Communicates ideas effectively Completes tasks Works independently Accepts personal responsibility for actions Accepts academic challenges Has interests beyond the classroom Shows respect for authority Social/Emotional Characteristics Strong Good Average Fair Cannot Evaluate Emotional Stability Creativity Adaptability Judgment/Common Sense Maturity Patience with others Leadership Initiative/Enthusiasm Motivation Thoughtfulness Integrity/Honesty What other insights/comments do you wish to convey to the Admissions Review Committee regarding this applicant? Teacher s Name (please print) School Date 6