Anda di halaman 1dari 3

Please Print or Type

BUSINESS ACADEMY OF TECHNOLOGY STUDENT APPLICATION


APPLICATION IN FORMATION

LAST NAME

FIRST NAME DATE OF BIRTH

STUDENT ID #
STREET ADDRESS

CITY, STATE, ZIP

HOME PHONE
PARENT/GUARDIAN NAME HOME/CELL PHONE

ALTERNATE PHONE

WORK PHONE

ACADEMIC PROGRESS

CURRENT GPA

CUMMULATIVE GPA

HAVE YOU PASSED THE FCAT?


IF NOT WHICH PART DO YOU STILL NEED TO PASS? GREATEST ACADEM IC STRENGTH
:

n
tr

YES

!
tr

NO

READING

MATH

tr

BOTH

GREATEST ACADEM IC WEAKN ESS:

HOW MANY TIMES HAVE YOU BEEN ABSENT DURING THIS SCHOOL YEAR? HOW MANY TIMES HAVE YOU BEEN TARDY?
HAVE YOU EVER RECEIVED A DISCIPLINARY REFERRAL?
IF SO, PLEASE EXPLAIN

YES

trNo

TEACHER REFERENCE

Please have onc of your currcnt teachers complete ths Teacher Reference Form, which is attached to this application. This form may be submitted with the application or it may bc placed in Ms. Brady's mailbox by your

Teacher for confidentiality pulposes.

Please Print or Type

ESSAY

Plcase submit a separate, half page typcd essay expressing your interest in the Business and Technology industry. Describe why you are interested in this program and what you expect to gain from participating in it. Be sure to include your first and last name on the paper.

Please Print or Type

BUSINESS ACADEMY OF TECHNOLOGY

TEACHER REFERENCE FORM

(PLEASE PRINT OR TYPE)

STUDENT NAME: LAST TEACHER NAME: FAX NUMBER:


SUBJECT TAUGHT:

FIRST PHONE NUMBER/EXTENTION:

EMAIL ADDRESS:
# OF YEARS KNOWING APPLICANT:

The Business Academy of Technology was implemented at Freedom High School in August 2010. Strategically selected students will be granted admission into the program based upon their grade point average, attendance, career interest, outstanding character, exemplary leadership and service. Each student is required to submit a reference from a current educator. Please complete this form with a detailed and honest description that best captures the essence of the applicant. Feel free to attach additional comments on a separate sheet of paper if desired.
DOES THIS STUDENT EXHIBIT OUTSTANDING CHARACTER, EXEMPLARY LEADERSHIP AND SERVICE TO OTHERS? PROVIDE EXAMPLES,

WOULD YOU RECOMMEND THIS STUDENT ACCEPTANCE INTO THE ACADEMY? WHY OR WHY NOT?

This form may be given back to the student to submit with their application or it may be couriered over to Freedom High School -Business Department- Ms. J. Brady Room 550.

Teachcr Signature