6th Grade STEM Application 2017 - Volusia



Galaxy Middle S.T.E.M. Academy“Specializing in Science, Technology, Engineering, and Math”center30475600APPLICATION FOR 6TH GRADE ADMISSIONPlease Submit Application by March 31st, 2017 to Galaxy Middle School front officeMr. Tom Russell, SuperintendentMs. Patricia Corr, PrincipalMr. Tony Goodin, Assistant PrincipalMs. Alicia Douglas, Assistant PrincipalMs. Sharon Blanton, Assistant Principal2400 Eustace AvenueDeltona, Florida 32725Telephone (386) 575-4144 (44696)STEM Contact: Chris DeRosier (Media Specialist/Dean of STEM)Email: cderosie@volusia.k12.fl.usLast Name: _______________________First Name: __________________Current School: ___________________Student Application for AdmissionApplicant’s Name__________________________________________________________LastFirstMiddleAddress____________________________________________Zip__________House NumberStreetApt#Date of Birth___/___/___ Male___Female___(If you don’t know what these are, they probably don’t apply to your child) We do accept ESE, Gifted, and ESOL students if they do not have to take intensive remedial classes.Gifted____ ESOL _____ ESE _____ Guardian #1 Guardian #2Name___________________________________ Name___________________________________ Home Address____________________________ Home Address____________________________Home Telephone__________________________ Home Telephone__________________________Cell Phone_______________________________ Cell Phone_______________________________Business Telephone_______________________ Business Telephone_______________________Email___________________________________ Email___________________________________STEM is a rigorous program that works at an accelerated pace, in the STEM program you will do more work than a non-academy student. Why do you want to participate in the STEM Academy? (A minimum of a paragraph required written by the student)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Guardian acknowledgementI acknowledge that the above response is in-line with our values, and we will be supportive of Galaxy Middle S.T.E.M. Academy. ________________________________ _________________________________Guardian #1 Guardian #2Parent Acknowledgement of AdmissionOur admissions policy seeks students who have achieved proficiency in reading,writing and mathematics skills, and whose performance testifies to their commitment tolearn in all their studies.??Galaxy Middle S.T.E.M. Academy seeks students whoare not only able, but who have expressed and/or demonstrated an interest in science,technology, engineering, art or math and want to become involved in a rigorous academicenvironment which emphasizes these subjects.Details about Enrolling(A) There will be no discrimination in the admission of students to the school on the basis of race, creed, color, disability, or sex.(B) The school will assert its best effort to attract a diverse student body that reflects the community, and the school will recruit students from disadvantaged and underrepresented groups.AdmissionsProspective students must submit written/typed applications. Every student will go through a personal interview during which there will be a review of the applicant’s most recent academic and attendance records to insure that Galaxy Middle S.T.E.M. Academy is an appropriate potential option and educational placement. Additional writing samples may be required during the application process. Throughout this process, a committee comprised of the student, family, and faculty will create an academic focus plan to guide the student Galaxy Middle S.T.E.M. Academy.Due to the nature and rigor of the academic content to be delivered, students should have a passion for learning. It is highly recommended that students have solid attendance records with very few absences. Due to this early college model and mastery-based learning system, students will need to demonstrate persistence when faced with challenging academic expectations.I hereby certify that I have read and understand the enrollment and admission guidelines above, and that this application has been filled out to the best of my knowledge.Guardian ParticipationGalaxy Middle S.T.E.M. is a program that stresses self-reliance, self-advocacy, and community. Students who are accepted into the academy are expected to do more duties and functions then they have in other academic environments. Cleaning, landscaping, organizing, fundraising, and community service are fundamental aspects of the program. Every individual will have a unique experience while participating in the academy. To meet the Hands-On needs of our students, we may require a yearly fee up to $100 per child participating in the program. This fee is used towards materials used, and in-county fieldtrips to local companies and manufacturers. Additional field trips that require an entrance fee is separate. ______________________________________ _____________________________Signature of student Date______________________________________Printed name of student______________________________________ _____________________________Signature of guardian #1 Date______________________________________ _____________________________Signature of guardian #2 Date ................
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