The Newark Public Schools



-1809750``The Newark Public SchoolsOffice of the Ombudsman2 Cedar Street Newark, New Jersey 07102-3091 Phone: 973-733-7015 Fax: 973-733-8788 State Christopher D. CerfState District Superintendent Advisory Board Student Representative ApplicationRequirementsCurrent junior entering his/ her senior year in the Newark Public Schools Minimum cumulative GPA of 3.0 No disciplinary issuesMust maintain good standing Application Process (see attached for forms) Completed application2 teacher recommendations 1 guidance counselor recommendation2 peer recommendations 1 administrator recommendation Copy of transcript and junior year report card Mail, email or fax application and all required documents to the Office of the OmbudsmanImportant DatesMarch 18: All applications must be received by the Office of the OmbudsmanApril: Candidates participate in an interviewApril 28: Candidates participate in a Community Debate; Marion Bolden Student CenterJune 21: Student Representative will be presented at Advisory Board Meeting Note: Dates are subject to changeDuties- Attend monthly Advisory Board Meetings – Business Meeting at 2 Cedar Street and Public Meeting at a designated school location - Report out on student activities- Participate in the Student Leadership Institute (Marion Bolden Student Center) - Represent students at Advisory Board Meetings - Attend various NPS related activities when requested by district staff *Mail, email or fax application and all required documents to Ms. Deering*Mail: Office of the OmbudsmanMs. Nancy J. Deering 2 Cedar Street- 9th FloorRoom 918Newark, NJ 07102 Email: ndeering@nps.k12.nj.us Fax: 973-733-8788 Please contact us via email to confirm our receipt of your application:-1771652540The Newark Public SchoolsOffice of the Ombudsman2 Cedar Street Newark, New Jersey 07102-3091 Phone: 973-733-7015 Fax: 973-733-8788 Christopher D. Cerf State District Superintendent Advisory Board Student Representative ApplicationPlease type or print clearlyApplicant Name: _______________________________________________________________Last First Middle Current School: _______________________________ Cumulative GPA: ________________Current Grade: ________________________________ Phone Number: (____)_____________Student ID #: ___________________ Applicant’s Email: __________________________List All Extra-Curricular Activities: ActivityAmount of time spent (Years/months/weeks/ days)Essay Questions: Answer all questions in complete sentences A) What qualities do you possess that would be beneficial for a Student Representative to have and why? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________B) What is your vision for students at the Newark Public Schools? What should the district do to assist our students and our schools? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________C) Discuss a challenge that you have faced and how you overcame it. Provide specific examples of how it helped your development as a leader. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________D) Is it important for students to be involved in their schools? Why or Why not? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________E) How would you as the Student Representative help students to effectively contribute to their school community? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Applicant Name _____________________________ Current School __________________ Teacher Recommendation (1) On a scale of 1-5, with 1 being the lowest and 5 being the highest, rate the applicant in each of the categories shown below. Place a check in the most appropriate box. 5070475212217000 A. Academic motivation/growth potential B. Sense of responsibility C. Emotional maturity D. Leadership qualities E. Study/work habitsF. Ability to get along with others G. Overall attitude toward school 1 2 3 4 5 A B C D E F G Your recommendation and comments regarding this applicant are of value to us and are required for the application process. 1) Please use the space below to write comments to support your recommendation. 2) Please share your personal observation of the student’s leadership abilities. Thank you.______________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Recommendation By: __________________________________ _____________________________ Signature Print Name: _______________________________________ Phone: ______________________________ Applicant Name _____________________________ Current School __________________ Teacher Recommendation (2) On a scale of 1-5, with 1 being the lowest and 5 being the highest, rate the applicant in each of the categories shown below. Place a check in the most appropriate box. 5070475212217000 A. Academic motivation/growth potential B. Sense of responsibility C. Emotional maturity D. Leadership qualities E. Study/work habitsF. Ability to get along with others G. Overall attitude toward school 1 2 3 4 5 A B C D E F G Your recommendation and comments regarding this applicant are of value to us and are required for the application process. 1) Please use the space below to write comments to support your recommendation. 2) Please share your personal observation of the student’s leadership abilities. Thank you.______________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Recommendation By: __________________________________ _____________________________ Signature Print Name _____________________________________Phone ______________________________ Applicant Name _____________________________ Current School __________________ Guidance Counselor Recommendation Attendance this school year _______________________ ______________________ Times absent Times tardy On a scale of 1-5, with 1 being the lowest and 5 being the highest, rate the applicant in each of the categories shown below. Place a check in the most appropriate box. 5070475212217000 A. Academic motivation/growth potential B. Sense of responsibility C. Emotional maturity D. Leadership qualities E. Respect among peersF. Ability to get along with others G. Overall attitude toward school 1 2 3 4 5 A B C D E F G Your recommendation and comments regarding this applicant are of value to us and are required for the application process. 1) Please use the space below to write comments to support your recommendation. Thank you. 2) Please share your personal observation of the student’s leadership abilities. ______________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Recommendation By: __________________________________ _____________________________ Signature Print Name _____________________________________Phone ______________________________ Print Name Applicant Name _____________________________ Current School __________________ Peer Recommendation (1) On a scale of 1-5, with 1 being the lowest and 5 being the highest, rate the applicant in each of the categories shown below. Place a check in the most appropriate box. 5070475212217000 A. Dedication to school related activities B. Sense of responsibility C. Emotional maturity D. Leadership qualities E. Respect among peersF. Ability to get along with others G. Overall attitude toward school 1 2 3 4 5 A B C D E F G Your recommendation and comments regarding this applicant are of value to us and are required for the application process. 1) Please use the space below to write comments to support your recommendation. 2) Please share your personal observation of the student’s leadership abilities. Thank you.______________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Recommendation By: __________________________________ _____________________________ Signature Print Name _____________________________________Phone ______________________________ Applicant Name _____________________________ Current School __________________ Peer Recommendation (2) On a scale of 1-5, with 1 being the lowest and 5 being the highest, rate the applicant in each of the categories shown below. Place a check in the most appropriate box. 5070475212217000 A. Dedication to school related activities B. Sense of responsibility C. Emotional maturity D. Leadership qualities E. Respect among peersF. Ability to get along with others G. Overall attitude toward school 1 2 3 4 5 A B C D E F G Your recommendation and comments regarding this applicant are of value to us and are required for the application process. 1) Please use the space below to write comments to support your recommendation. 2) Please share your personal observation of the student’s leadership abilities. Thank you.______________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Recommendation By: __________________________________ _____________________________ Signature Print Name _____________________________________Phone ______________________________ Applicant Name _____________________________ Current School __________________ Administrator Recommendation On a scale of 1-5, with 1 being the lowest and 5 being the highest, rate the applicant in each of the categories shown below. Place a check in the most appropriate box. 5070475212217000 A. Academic motivation/growth potential B. Sense of responsibility C. Emotional maturity D. Leadership qualities E. Study/work habitsF. Ability to get along with others G. Overall attitude toward school 1 2 3 4 5 A B C D E F G ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Your recommendation and comments regarding this applicant are of value to us and are required for the application process. 1) Please use the space below to write comments to support your recommendation. 2) Please share your personal observation of the student’s leadership abilities. Thank you.______________________________________________________________________________________________ Recommendation By: __________________________________ _____________________________ Signature Print Name _____________________________________Phone ______________________________ ................
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