2016-17 Le Grand Academies Application

Admission Application
For
Medical Academy and Agriculture Academy
Deadline: March 1, 2016
Selection Criteria is based on the following:
• GPA of 2.8 or better
• Two Recommendation Forms
• Academy Essays
• Personal Statement
• Individual Interview
For additional information please contact
Mrs. Campos, Le Grand High School Counselor/Coordinator,
at 209-389-9400 ext. 1014 rcampos@lghs.k12.ca.us
Le Grand Union High School District: 12961 E. Le Grand Road • Le Grand, CA 95333
Le Grand High School 209-389-9400
THE MEDICAL AND AGRICULTURE ACADEMIES
LE GRAND HIGH SCHOOL
AGRICULTURE ACADEMY:
The Le Grand High School Agriculture Academy Program will increase the number of students who graduate
from high school and go onto a university to become competitive applicants for agriculture colleges and
universities.
The Agriculture Academy will work to strengthen the educational population of under-represented or
disadvantaged students throughout Merced County and encourage them to enter a professional agriculture
field.
MEDICAL ACADEMY:
The Le Grand High School Medical Academy Program will provide opportunities for tomorrow’s leaders in
medicine in order to improve the health and health care of minority and underserved communities by
emphasizing in education, research, and service.
The Medical Academy Program of Le Grand High School will strive to educate culturally diverse students to
become future health professionals. We will engage our students in a rigorous program of mathematics and
science courses enhanced by the use of technology. We will broaden our students’ learning by offering
opportunities outside of the classroom through service learning in medical and health related facilities.
Academy Selection criteria is based on:
• Submission of Program Application
• Two Letters of Recommendation
• Academy Specific Essay
• GPA of 2.8 or above
• Personal Statement
• Individual Interview
Expectations of Academy students:
1. Enroll in the most rigorous, accelerated classes with an emphasis on Math, Science, and English. (Honors
& Advanced Placement)
2.
Commit to the Academy 4 year plan
3.
Maintain a minimum of a 2.8 academic grade point average (GPA)
4.
Participate in summer enrichment and summer school programs
5.
Participate in study academies, study trips, and other activities
LE GRAND UNION HIGH SCHOOL
ACADEMIES APPLICATION PROCESS
ACADEMY APPLICATION CHECK LIST:
Complete and review that your application is typed or printed legibly in ink, and includes the
following items due March 1st:
 Student and Parent Information (include parent and student signatures)
 Personal Statement
 Health Disparity Essay if applying to Medical Academy
 Agriculture Issue Essay if applying to Agriculture Academy
 7TH & 8th grade transcripts showing all grades
Due March 4th:
 Two Recommendation Forms (submitted online or paper form to Mrs. Campos)
MAILING INFORMATION:
MAIL OR DROP OFF APPLICATION by 4pm March 1, 2016
To:
LE GRAND UNION HIGH SCHOOL DISTRICT
12961 E. LE GRAND ROAD
LE GRAND, CA 95333
PHONE: (209) 389-9400 FAX: (209) 389-4065
IMPORTANT TIMELINES:
March 1, 2016:
March 4, 2016:
March 7th & 8th 2016:
March 23, 2016:
April 6, 2016:
Application Due
Recommendation Forms Due to Mrs. Campos
Interviews for finalists
Notices of acceptance sent
Recognition Event
-----Page Left Blank Intentionally-----
Application: Please check the box for the academies you are applying for.
STUDENT INFORMATION:
□Agriculture Academy □Medical Academy
Name: ______________________________________________________
Male ____ Female ____
Date of Birth (mo/day/year): __________________________________________
Address: ________________________________________________City: ________________ Zip Code: __________
Home Phone #: ___________________________________ Cell Phone # _______________________________
Email address: ______________________________________________________________________________
Current School: _______________________________________________Current GPA: ___________________
If applying to Medical Academy: Indicate the top three health or medical professions are you most interested in
1. _____________________
2. ____________________
3. _____________________
If applying to Agriculture Academy: Indicate the top three agriculture related professions are you most interested in
1. _____________________
T-Shirt Size (Adult sizes):
□S
2. ____________________
□M
□L
3. ____________________
□XL □XXL
PARENT(S)/GUARDIAN(S) INFORMATION
Father’s/Guardian Name: _______________________________Work phone #________________ Cell # ______________
Mother’s/Guardian Name: ______________________________Work phone #________________Cell # _______________
Legal Parent/ Guardian Address: ________________________________City: __________________ Zip Code: _________
Email address: _______________________________________________________________________________
Student’s Race (for statistical and reporting purposes only):
□ Laotian
□ Samoan
□ Vietnamese
□ Asian Indian
□ Chinese
□ Tahitian
□ Other Pacific Islander
□ Cambodian
□ Japanese □ Hmong
□ Filipino/Filipino American
□ Guamanian
□ Korean
□ Hawaiian □ African American or Black
□ Other Asian
□ White (Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East)
□ American Indian or Alaskan Native (Persons having origins in any of the original people of North, Central or South America
Student’s Ethnicity (for statistical and reporting purposes only):
•
□ Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin,
• regardless of race)
□ Not Hispanic or Latino
Language spoken at home: _______________________
Language for written materials: ___________________
Highest level of education completed by:
Mother/Guardian
□
□
□
Did not finish high school
Some college
Father/Guardian
□
□
□
High school graduate
AA/AS Degree
□
□
□
Did not finish high school
Some college
□
□
□
High school graduate
AA/AS Degree
BA/BS Degree
Graduate Degree
BA/BS Degree
Graduate Degree
Student Signature _______________________________________________________ Date_________________________
Legal Parent/Guardian Signature __________________________________________ Date__________________________
Parent & Student Commitment Form
Parent/Student, please retain this for your records: If selected to participate in an academy you will be
agreeing to the following and signing this Commitment Form.
2016-2017 Student / Parent Commitment Form
STUDENT’S NAME: __________________________________________________________________
Student Commitment: (Please read and initial)
As a student in the Academy program, I commit to the following:
______ Participate in a rigorous four-year academic plan that may include Advanced Placement classes and SAT
college preparation courses
______ Maintain a 2.8 grade point average (GPA)
______ Attend all classes daily and arrive promptly
______ Communicate with teachers and Academy staff when I need assistance
______ Participate in Study Academies outside the school day
______ Participate in study trips, school, and community activities
______ Attend and complete summer enrichment activities
______ Represent Le Grand High School Academy Programs, my family, and myself in a positive and responsible
manner
______ Exhibit good citizenship (behavior and attitude)
Parent /Guardian Commitment: (Please read and initial)
____________ As the parent of an Academy student, I commit to supporting my son or daughter who will:
______ Participate in a rigorous four-year academic plan that may include Advanced Placement classes and SAT
college preparation courses
______ Maintain a 2.8 grade point average (GPA)
______ Attend all classes daily and arrive promptly
______ Communicate with teachers and Academy staff when I need assistance
______ Participate in Study Academies outside the school day
______ Participate in study trips, school, and community activities
______ Attend and complete summer enrichment activities
______ Represent Le Grand High School Academy Programs, my family, and myself in a positive and responsible
manner
______ Exhibit good citizenship (behavior and attitude)
____________ As a parent of an Academy student, I commit to Participate in the following parent events:
_____________ Parent Report Card Night in Fall & Spring
_____________ Be actively involved in student’s education
_____________ Fall and Spring Conferences
I HAVE READ AND UNDERSTAND MY COMMITMENT TO THE LE GRAND HIGH SCHOOL ACADEMY PROGRAM:
STUDENT SIGNATURE: _______________________________________
Date:
FATHER/GUARDIAN:
Signature:
______________________________________________Date:
MOTHER/GUARDIAN:
Signature:
______________________________________________Date:
Parent/Student, please retain this for your records
_________________________
_________________________
________________________
Compromiso de Padres y Estudiantes
Padres/Estudiantes mantengan esto para sus archivos: Si son seleccionados para participar en la academia,
van a estar de acuerdo con lo siguiente y firmaran este compromiso.
Academia Medica de la Escuela Secundaria de Le Grand
Compromiso de Padres y Estudiantes para el ano escolar 2016-2017
Nombre del Estudiante: __________________________________________________________________
Compromiso del Estudiante: ( Por favor lea y ponga su inicial)
Como estudiante en una Academia, me comprometo a lo siguiente:
______ Participar en un plan académico de cuatro años rigurosa que puede incluir clases de Colocación Avanzada
y SAT cursos de preparación universitaria
______ Mantener un promedio de 2.8 (GPA)
______ Asistir a todas las clases diariamente y llegar puntualmente
______ Comuníquese con los maestros y personal de la Academia cuando necesito ayuda
______ Participar en Academias de estudios voluntarias fuera del día escolar
______ Participar en viajes de estudios, la escuela y las actividades comunitarias
______ Actividades de enriquecimiento de asistir y completar verano
______ Represente Le Grand Escuela Secundaria y la Academia, a mi familia ya mí mismo de una manera
positiva y responsable
______ Exhiben buena ciudadanía (comportamiento y actitud)
Compromiso del padre/tutor: (Por favor lea y inicial)
______ Como el padre de un estudiante de una Academia, me comprometo a apoyar a mi hijo/hija que hará
lo siguiente:
______ Participar en un plan académico de cuatro años rigurosa que puede incluir clases de Colocación Avanzada
y SAT cursos de preparación universitaria
______ Mantener un promedio de 2.8 (GPA)
______ Asistir a todas las clases diariamente y llegar puntualmente
______ Comuníquese con los maestros y personal de la Academia de Medicina cuando necesito ayuda
______ Participar en Academias de estudios voluntarias fuera del día escolar
______ Participar en viajes de estudios, la escuela y las actividades comunitarias
______ Actividades de enriquecimiento de asistir y completar verano
______ Represente Le Grand Escuela Secundaria Academia de Medicina, a mi familia ya mí mismo de una
manera positiva y responsable
______ Exhiben buena ciudadanía (comportamiento y actitud)
____________ Como padre de un estudiante de la Academia de Medicina, me comprometo a Participar en los
siguientes eventos para los padres:
______ Noche de Calificaciones en el otoño y primavera
______ Participar activamente en la educación de los estudiantes
______ Reuniones y Conferencias para Padres durante el otoño y primavera
HE LEÍDO Y ENTIENDO MI COMPROMISO CON LA ACADEMIA DE LA ESCUELA SECUNDARIA DE LE GRAND:
FIRMA DEL ESTUDIANTE: _________________________________________ Fecha: _________________________
PADRE/TUTOR:
Firma: ____________________________________________________ Fecha: _________________________
MADRE/TUTOR:
Firma: ____________________________________________________ Fecha: ________________________
Parent/Student, please retain this for your records
Applicant/Student Name: ____________________________________________
Recommendation Form/Evaluator Information
The Recommendation Form is a valued part of the admission process for the Le Grand High School
Academies. Students are asked to submit the names and contact information for 2 Evaluators.
Evaluators will be contacted via e-mail to complete an electronic Recommendation Form. While it is highly
recommended that Evaluators be a Math, Science, or English Teacher it is not required.
If Evaluator/Recommender prefers to submit a paper form rather than electronic please complete
Recommendation Form and do not sign Evaluator agreement below.
If you have any questions or comments please feel free to contact Mrs. Rosa Campos,
Counselor/Coordinator at rcampos@lghs.k12.ca.us or (209) 389-9400 ext. 1014.
Evaluator agreement:
I agree to have the Academy Recommendation Form sent to me via email and complete it for the student
named above.
Evaluator 1
Name: _________________________________
E-mail: _________________________________
Signature: ______________________________
Evaluator 2
Name: _________________________________
E-mail: _________________________________
Signature: ______________________________
Two Essays are required for the LGHS Academies application.
These must be in your own words.
(Please pay attention to format, grammar, punctuality, and proper citations. Plagiarism will result in an
automatic disqualification of an application. Please type or print legibly in ink.)
PERSONAL STATEMENT ESSAY: Required for Medical and Agricultural Academy.
A. Please provide a 1-2 page essay addressing the following:
v Why you have chosen to apply to the Medical Academy and or the Agricultural Academy.
v How you have prepared yourself academically for high school.
v Tell us about your talent, experience, personal quality and the contributions you would bring to the
Medical Academy and or the Agricultural Academy.
HEALTH DISPARITY ESSAY: Required for Medical Academy
B. On a separate sheet, please provide a minimum of two paragraphs that describes the following:
v Please define health disparity and identify at least one within our community.
AGRICULUTRE ISSUE ESSAY: Required for Medical Academy
B. On a separate sheet, please provide a minimum of two paragraphs that describes the following:
v Please describe an agriculture issue that is currently facing California agriculture and how it affects
Merced County.