Application for High School Admission

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2 2nd semester schedule by teacher s name and room number Application for High School Admission Please Print Date 6. Name First MI Last Mailing Address City Zip Code T-Shirt Size qs qm ql qxl q2xl q3xl School Grade Student phone# (an address you check) Father/Guardian Name Phone# Mother/Guardian Name Phone# Consent for Release of Student Information I hereby give my permission for my child s high school to release grades, attendance records, and achievement test scores to Great Plains Technology Center. I also give permission for the high school to release confidential records contained in my child s Individualized Education Plan (IEP), if applicable. I understand that all records are confidential and will only be reviewed by Great Plains staff who serve my child. Signature of Parent or Guardian Date Completion of this application does not guarantee admission. To be completed by high school counselor. A current high school transcript must be attached to this application. Total Absences First Semester Cumulative GPA PLAN Scores: Math % Reading % Composite Score Needs: q Algebra II math pullout class at GPTC q Geometry pullout class at GPTC Counselor Comments: Official Use Only: Date: Program: q AM q PM q K q SCORE

3 CAREER CLUSTER INTEREST SURVEY NAME Check the items in each of the areas on the next two pages that best describe you. You may make as many or as few checks in each area you choose. Add up the number of checked boxes in each area. Look to see which three areas have the highest numbers. Area A q Learn how things grow and stay alive. q Make the best of the earth s natural resources. q Hunt and/or fish. q Protect the environment. q Be outdoors in all kinds of weather. q Plan, budget, and keep records. q Operate machines and keep them in good repair. q Self-reliant q Nature lover q Physically active q Planner q Creative problem solver q Life Science q Earth Sciences q Chemistry q Agriculture Area A Area B q Read and follow blueprints and/or instructions. q Picture in my mind what a finished product looks like. q Work with my hands. q Perform work that requires precise results. q Solve technical problems. q Visit and learn from beautiful, historic, or interesting buildings. q Follow logical, step-by-step procedures. q Curious q Good at following directions q Pay attention to detail q Good at visualizing q Patient and persistent q Drafting q Physical Sciences q Construction Trades q Electrical Trades/Heat, AC & Refrigeration/ Technology Education Area B Area C q Use my imagination to communicate new information to others. q Perform in front of others. q Read and write. q Play a musical instrument. q Perform creative, artistic activities. q Use video and recording technology. q Design brochures and posters. q Creative and imaginative q Good communication/good vocabulary q Curious about new technology q Relate well to feelings and thoughts of others q Determined/tenacious q Art/Graphic Design q Music q Speech and Drama q Journalism/Literature q Audiovisual Technologies Area C Area D q Perform routine, organized activities but can be flexible. q Work with numbers and detailed information. q Be the leader in a group. q Make business contact with people. q Work with computer programs. q Create reports and communicate ideas. q Plan my work and follow instructions without close supervision. q Organized q Practical and logical q Patient q Tactful q Responsible q Computer Applications/ Business and Information Technology q Accounting q English Area D Area E q Communicate with different types of people. q Help others with their homework or to learn new things. q Go to school. q Direct and plan activities for others. q Handle several responsibilities at once. q Acquire new information. q Help people overcome their challenges. q Friendly q Decision maker q Helpful q Innovative/Inquisitive q Good listener q Social Studies q Science q Psychology Area E Area F q Work with numbers. q Work to meet a deadline. q Make predictions based on existing facts. q Have a framework of rules by which to operate. q Analyze financial information and interpret it to others. q Handle money with accuracy and reliability. q Take pride in the way I dress and look. q Trustworthy q Orderly q Self-Confident q Logical q Methodical or efficient q Accounting q Banking/Financial Services q Business Law Area F Area G q Be involved in politics. q Negotiate, defend, and debate ideas and topics. q Plan activities and work cooperatively with others. q Work with details. q Perform a variety of duties that may change often. q Analyze information and interpret it to others. q Travel and see things that are new to me. q Good communicator q Competitive q Service-minded q Well-organized q Problem solver q Government q Language q History Area G Area H 4 q Work under pressure. q Help sick people and animals. q Make decisions based on logic and information. q Participate in health and science classes. q Respond quickly and calmly in emergencies. q Work as a member of a team. q Follow guidelines precisely and meet strict standards of accuracy. q Compassionate and caring q Good at following directions q Conscientious and careful q Patient q Good listener q Biological Sciences q Chemistry q Occupational Health Area H

4 Area I q Investigate new places and activities. q Work with all ages and types of people. q Organize activities in which other people enjoy themselves. q Have a flexible schedule. q Help people make up their minds. q Communicate easily, tactfully, and courteously. q Learn about other cultures. q Tactful q Self-motivated q Works well with others q Outgoing q Slow to anger /Speech q Social Sciences q Marketing q Food Services Area I Area J q Care about people, their needs, and their problems. q Participate in community services and/or volunteering. q Listen to other people s viewpoints. q Help people be at their best. q Work with people from preschool age to old age. q Think of new ways to do things. q Make friends with new kinds of people. q Good communicator/good listener q Caring q Non-materialistic q Intuitive and logical q Non-judgemental q Psychology/Sociology q Family and Consumer Sciences q Finance Area J Area K q Work with computers. q Logical/analytical thinker q Reason clearly and logically to solve complex problems. q See details in the big picture q Use machines, techniques, and processes. q Persistent q Read technical materials and diagrams and solve technical problems. q Good concentration skills q Adapt to change. q Precise and accurate q Play video games and figure out how they work. q Concentrate for long periods without being distracted. q Science q Computer Tech/ Applications q Communications q Graphic Design Area K Area L q Work under pressure or in the face of danger. q Make decisions based on my own observations. q Interact with other people. q Be in positions of authority. q Respect rules and regulations. q Debate and win arguments. q Observe and analyze people s behavior. q Adventurous q Dependable q Community-minded q Decisive q Optimistic q Psychology/Sociology q Government/History q Law Enforcement q First Aid/First Responder Area L Area M q Work with my hands and learn that way. q Put things together. q Do routine, organized and accurate work. q Perform activities that produce tangible results. q Apply math to work out solutions. q Use hand and power tools and operate equipment/machinery. q Visualize objects in three dimensions from flat drawings. q Practical q Observant q Physically active q Step-by-step thinker q Coordinated /Geometry q Chemistry q Trade and Industry courses q Physics Area M Area N q Shop and go to the mall. q Be in charge. q Make displays and promote ideas. q Give presentations and enjoy public speaking. q Persuade people to buy products or to participate in activities. q Communicate my ideas to other people. q Take advantage of opportunities to make extra money. q Enthusiastic q Competitive q Creative q Self-motivated q Persuasive q Business Education/ Marketing q Computer Applications Area N Area O q Interpret formulas. q Find the answers to questions. q Work in a laboratory. q Figure out how things work and investigate new things. q Explore new technology. q Experiment to find the best way to do something. q Pay attention to details and help things be precise. q Detail-oriented q Inquisitive q Objective q Methodical q Mechanically inclined q Science q Drafting/Computer-Aided Drafting q Electronics/Computer Networking q Technical Classes/ Technology Education Area O Area P q Travel. q See well and have quick reflexes. q Solve mechanical problems. q Design efficient processes. q Anticipate needs and prepare to meet them. q Drive or ride. q Move things from one place to another. q Realistic q Mechanical q Coordinated q Observant q Planner q Trade and Industry courses q Physical Sciences Area P Please record the areas with your highest numbers For more information, check with a career counselor at your high school or with any of Great Plains career counselors listed on the next page. Disclaimer: Your interests may change over time. These survey results are intended to assist you with informal career exploration. Consider more formal assessments and other resources or services to help you plan your career. This survey does not make any claims of statistical reliability.

5 3D Animator Automotive Service Technician Biomedical Sciences Combination Collision Repair Technician Criminal Justice Officer Culinary Arts Cyber Security Specialist Desktop Support Technician High School Classes Available Diesel Truck Engine Repair Technician Digital Graphic Designer Digital Photographer Executive Administrative Assistant Heating & Air Conditioning Technician Hospitality Service Assistant (Enrollment by Special Permision) Medical Office Assistant Multimedia Assitant Nursing Assistant (includes an Anatomy & Physiology credit) Pre-Engineering Residential Carpentry Residential Electrical Technician Teacher Prep Video Producer Welding I prefer to attend GPTC: q AM Session (8:15-10:55 a.m.) q PM Session (11:50-2:40 p.m.) q EITHER Session Class Choice: 1st 2nd Please respond to the following questions in your own handwriting using complete sentences. Be prepared to discuss your responses with a Great Plains Technology Center staff member during your interview. 1. What class do you want to enroll in at Great Plains Technology Center? Why? 2. How do you plan to use the training you receive at Great Plains Technology Center? 3. What are your plans after high school? 4. Have you had any work experience or classes that relate to the class you want to take? 5. What do you like to do in your free time (outside of school)? Signature of Applicant Date GPTC Interview Notes For Official Use Only Tech Tours or other GPTC visit/tour q YES: q NO Why GPTC: Attendance Issues: Grades/Credit Check: Conflicts: Program Specific Questions & Comments: Recommendation Level: q 1 q 2 q 3 q 4 q 5 Staff: Date

6 You can make Great Plains Technology Center a part of your high school education. Hands-on education High school students attend FREE Free transportation to and from your high school Free tutoring in the Academic Center Get involved. Have fun. Be yourself! Meet students from 13 different high schools. Join student organizations! Compete at regional, state, and national levels in your chosen career field. For information contact: Joelle Jolly, Director of Student Support Services [email protected] facebook.com/greatplainstechnologycenter Follow us on Notice of Non-Discrimination: Great Plains Technology Center does not discriminate on the basis of race, color, national origin, sex/gender, disability, religion or veteran status in its educational programs or activities. This includes, but is not limited to recruitment, admissions, educational services and activities, financial aid and employment. Inquiries concerning application of this policy may be referred to James Bishop or Karen Bailey at or at Great Plains Technology Center, 4500 W. Lee Boulevard, Lawton, OK.