DELAWARE CITY SCHOOLS

2016 SUMMER SCHOOL ENROLLMENT APPLICATION

For Upcoming Grades 9-12

Rutherford B. Hayes High School

(740) 833-1010 FAX: (740) 833-1099

I am requesting that my child be enrolled in the Delaware City Schools’ summer school program. Seating is limited and priority will be given to those upperclassmen students who need to make-up failed courses, submitting this form does not guarantee enrollment, students will be notified of approved enrollment prior to start date. Summer School courses are not approved for NCAA Athletic Eligibility. I understand that transportation is not provided and summer school sessions will be held during the following dates, times, and locations:

Apex Six-Week Online Session (For English, Math, Science, and Social Studies Credits): June 6-July 14, 2016*

Location: Hayes High School LMC Optional Lab Times: Mon - Thurs 9 AM – 12 Noon (See calendar)

*All Apex students are required to attend an Info/Training Session to participate. Last names A-L on June 6, 2016 and M-Z on June 7, 2016 from 9:00 am-12:00 noon. Apex students may work at home or attend lab times as needed. Please see attached calendar for lab times. Communication via e-mail with the instructor will be required if working from home. Parents please include your email address on this form to receive weekly progress reports.

Apex Three-Week Online Session (For Elective Credits): 1st Session: June 6-June 23, 2nd Session: June 27-July 14, 2016*

Location: Hayes High School LMC Optional Lab Times: Mon - Thurs 9 AM – 12 Noon (See calendar)

*All Apex students are required to attend an Info/Training Session to participate. June 6, 2016 for 1st session and June 27, 2016 for 2nd session from 9:00 am -12:00 noon. Apex students may work at home or attend lab times as needed. Please see attached calendar for lab times. Communication via e-mail with the instructor will be required if working from home. Parents please include your email address on this form to receive weekly progress reports.

PE will not be offered through Hayes High School this summer. Students may choose to take PE online through

TRECA Summer School. Cost is $85 for 0.5 credit of PE. Visit http://summerschool.treca.org for more details.

Student Name: ______DOB:______

Student Gender: 1 M 1 F Home Phone #:______Cell / Day Phone #:______

School Last Attended: ______Grade Level for Current School Year: ______

(Grade level just completed)

Parent/Guardian Name: ______

Address: ______Email: ______

Please indicate the course in which you are requesting to enroll your child. Students may sign up for only ONE COURSE unless prior approval is granted, prior approval MUST be noted on this form.

No new registrations will be taken after June 3rd.

Cost for Delaware City Students (Grades 9-12): Apex: $150.00

Apex: Course request: ______New Credit: ____ Make-up: ____

*Please indicate 1st or 2nd session for 3-week elective courses

Courses available

English / Math / Science / Social Studies / Electives- 3-Week Session
English 9 / Algebra 1 / Physical Science / World Studies / Health (.5)
English 10 / Algebra 2 / Biology / United States Studies / Music Appreciation (1.0)
English 11 / Geometry / Earth Science / Government (.5) / Art Appreciation (.5)
English 12 / Economics (.5) / Sociology (.5)
Psychology (.5)

All Summer School credits offered as make up credits ONLY with the exception of Health

Applications must be returned to Hayes by June 3, 2016

Counselor Approval: ______