Alief Independent School District / Houston Community College

AliefIndependentSchoolDistrict/HoustonCommunityCollege

PREPARING STUDENTS FOR TOMORROW ― CARING FOR THEM TODAY

Applicationfor AdmissionFall 2017

IMPORTANT:Interestedstudentswillberequiredtocometo AECHSonJanuary

21,2017 tosubmita writing,reading,andmathsample.Timesarebyfirstletteroflastname:

A-L(9:00a.m.—11:00 a.m.)and M-Z (Noon—2:00p.m.)

*****Itis importanttoPRINTLEGIBLYonthis application.*****

PartOne:GeneralInformation

Name:

LastFirstMiddle

DateofBirth / /

MonthDayYear

FemaleMaleStudentID#:

CurrentSchool:

Counselor:

HighSchoolAssignment:

Cell#(optional):

E-mail(optional):

PartTwo:ContactInformation

Parent/Guardian:

Address:

ZipCode:

HomePhone# _Work# Cell#

Parente-mail:

EmergencyContactName: Phone#:

MailorHandDelivertheCompleteFourPageApplicationto either:AliefEarlyCollegeHighSchool

2811AHayesRd. Houston,TX77082

OR

Dropitoff withtheSecretaryintheCounselor’sOfficeat yourMiddleSchoolCampus

Only ORIGINALapplicationswill beaccepted.Faxed,e-mailed,lateor incompleteapplicationswillNOTbeaccepted.

DEADLINEforFall2017Admission:FRIDAYJanuary6,2017 by 3:00p.m

ForQuestionsContact:Beth Johnson,TerriGuidry,orCandice Richmond at 281-988-3010

DATETIMEAPPLICATIONWASRECEIVED:

Whatlanguageisspokenmostofthetimeinyourhome?

Howmanydaysofschoolhaveyoumissedthisschoolyear? ______

Howmanydisciplinereferralshaveyouhadthisschoolyear?

Haveyoueverbeeninan ESLprogram?

Yes No

Doyoucurrentlyreceivefreeorreducedbreakfast/lunch?

Yes No

Did your mother and/or father graduate from a four year college? _____Yes_____No

AreyouintheAVIDprogram?

Yes No

Doyouhavea siblingor otherrelativewhoattendsAECHS? Yes No

Ifyes,nameofsiblingorrelative.

PartThree:ApplicantResponse

Pleasetellusaboutyourselfandanswerthefollowingquestionsinyourownhandwriting. Choose threewordsyou would usetodescribe yourselfandgive a supporting example for each adjective:

1._

2._

3.

Students who apply to AECHS understand they will be undertaking rigorous course work in order to

prepare for college level classes at HCC. Explain the steps you will take to be successful in these classes:

Describethequalities of a perfect high school that will help you be successful:

Which college or universities are you interested in attending and in which field of study do you wish to pursue? Describe how you believe AECHS will help you reach your goal:

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PartFour:ParentResponse

Astheparentorguardianyouknowyourchildbest.Pleaserespondfullytoeachofthethreequestionsin thissection.

1.Whattypesofthingsareyou lookingforinyourchild’shighschoolexperience?

2.Describeoneofyourchild’sstrengths.

3.Whataresomeof thereasons yourchildwillbesuccessfulinthiseducationalsetting?

PartFive: AcademicRecords/ Parent–Student Agreement

ReportcardgradesandstudentassessmentdatawillberetrievedforreviewfromtheAISDstudent

management system. Students who attend schoolsoutside of Alief ISD are responsible for

submitting the following: Fall semester report card with final semester averages, school attendance and discipline report, STAAR testing data. These are due with the application. Incomplete applications will not be considered for enrollment. Students who receive acceptance to AECHS must complete and pass 8th grade STAAR assessments and maintain appropriate grades and attendance through the spring semester of their 8th grade year. Failure to do so will result in removal from the acceptance list.

I aminterestedinattendingAliefEarlyCollegeHighSchooland wanttobe consideredfor admission.Icertifythattheinformationprovidedis completeandaccurate.Incompleteor inaccurateinformationmaybegroundstodenyadmission.Iauthorizeadministrativeofficials toverify,access,andutilizeacademicinformationtosupportthisapplication.Iunderstand theschoolandHCCexpectahighstandardofconductatalltimes.Ifacceptedtoattend,I will abidebyallrulessetforthbybothAliefECHSandHoustonCommunityCollege.

Checkthefollowingsectionsthathavebeencompletedandverified:

PartOne PartTwo PartThree PartFour PartFive  Parte Seis y Sieteenespañol

SignatureofParent/ Guardian(required) Date

Signatureof Student(required) Date

IMPORTANT:OnlyORIGINALapplicationswillbeaccepted.Faxed,e-mailed,lateorincomplete applicationswillNOTbeaccepted. The deadline is Friday, January 6,2017 at 3:00 p.m.

Seepageoneofthisapplicationforinformationaboutthedeadlineandinstructionsforsubmission

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SEXTAPARTE:respuestasdelospadres

Comoelpadreo eltutordelestudiante,ustedlo conocemejor.Tengalaamabilidadderesponder plenamenteacadaunade laspreguntasdeestasección.

1.¿Quétipode cosasesperaustedquela preparatoriabrindeasuhijo?

2.Describaunodelospuntosfuertesohabilidadesdesuhijo.

3.Cuálessonalgunasdelasrazonesporlasquesuhijotriunfaráenesteambienteeducativo?

SÉPTIMAPARTE:EXPEDIENTESESCOLARESYACUERDO ENTREEL ESTUDIANTEYSUSPADRES

La bolete de calificaciones, y losdatos de evolucióndeldelestudianteseránrecuperados del Sistema de

gestiónestudiantil del distrito escolar (AISD), a fin de serrevisados. Los estudiantes que asistieron a

esculasfuera del distrito de Aliefseránresponsables de entregarlossiguientesdocumentos: La bolete de las calificaiones del semester de otoño (Fall Semester) con el promedio final del semester, boletin de asistencia y disciplina, y losdatos del examen del STAAR. Estosdocumentostienen que serpresentados con la peticion de admission.

Estoyinteresadoenasistiren el program de Alief Early College High School y quieroserconsiderado para una admission testigo que la informacionenlosdocumentos son veraderas y completes, sabendo que unaerronea o incomplete informacionpuedeser la cuasa de negarme el ingreso a esteinstituto. Le concede a la administracion de esteinstituto de verificar, y tener el derecho de acceso a misdatosacademicos.

 Parte 1  Parte2  Parte 3  Parte 4  Parte 5  Parte 6  Parte 7

Firmadelpadreo deltutor(requisito) Fecha

Firmadelestudiante(requisito)Fecha

IMPORTANTE:Soloseaceptael originaldeunasolicitud.Noseaceptaningunasolicitudquehayasido enviadatarde,porfaxoporcorreoelectrónico(e-mail)o queestéincompleta.La fechatopedeentregaes

el 6 de Enero de 2017 para las 3:00 p.m.

Parainformarseacercade lasinstruccionesparaentregarlasolicitudydelplazodeentrega,recurrir a

lapágina1de estasolicitud.

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