ENROLLMENT PACKET
Pathways to Advanced Career Exploration –
PACE welcomes your application to the 2016-2017 ninth-grade class.
REQUIREMENTS FOR ENROLLMENT IN PACE PROGRAM
Students must:
- Currently be enrolled in school and pass the eighth grade
- Students must be working toward a New York State Regents diploma
- Complete the application form and submit the completed form to their school counselor no later than May 5, 2016
Parents must:
- Complete the parent statement portion of the application form to be submitted by the student to their school counselor no later than May 5, 2016
IMPORTANT DATES
May 5, 2016 – Application Submission
A completed and signed application must be submitted to the school guidance counselor in the student’s district of residence.
May9 – 11, 2016 – Student Conversations
Have more of your questions answered. Share more information about yourself that will help us plan your educational and extra-curricular experience.
May 19, 2016 – Career Jam
Career Jam is a one day hands-on career exploration event for eighth & ninth grade students. This event is designed to highlight local career possibilities in the 16 career clusters. This hands-on event is designed to engage students & encourage them to look at careers that are relevant to where we live. (Jefferson County Fairgrounds)
July 19 – 21, 2016 – PACE Summer Session (Dates will be confirmed prior to end of school)
Day 1: Adventure Activity
Day 2: Project Based Activities with PACE Teachers
Day 3: Technology and Social Media – Students will vote on school logo, colors, and other fun social media communications
STUDENT APPLICATION
Home School District: ______
Student’s Full Name: ______
Student’s Address: ______
City: ______State: ______Zip Code: ______
Gender: ___ Male Female Date of Birth: ______Current Grade: _____
Student’s Email Address: ______
Parent/Guardian Name: ______
Parent/Guardian Email: ______
Parent/Guardian Phone Number: ______Alternate #: ______
Teacher Recommendation Filled out by: ______
What careers interest you?
______
Personal Statement: If you could change one thing in your life, what would it be? Why? (250 word limit)
______
Student Signature: ______Date: ______
Parent / Guardian Form
TO BE FILLED OUT BY APPLICANT’S PARENT(S) OR GUARDIAN
Please answer all questions.
You may attach additional paper as necessary.
Student’s Full Name: ______
What are your dreams and aspirations for your child? ______
Please share any information that you feel is important for us to know about your child as a learner. ______
Please indicate your child’s top two strengths and top two challenges. ______
I agree that my child may enroll in PACE. I realize that students participating in the program will have the opportunity as a junior in high school to become a non-matriculated student at North Country Community College / SUNY Canton and that his / her grades in the college level classes will become part of his / her college transcript. I also understand the academic calendar for PACEstudents may be different from their home school, and may require summer coursework.
Parent/Guardian Signature: ______
Date: ______
Teacher Recommendation
TO BE FILLED OUT BY A TEACHER IN
THE APPLICANT’S HOME DISTRICT
Student’s Full Name: ______
Date: ______
Teacher Name: ______
Position: ______
How do you know the applicant? ______
How long have you known this individual? ______
Please rate using the following scale:
1= Unacceptable 2=Below Average 3=Average 4=Above Average 5=Outstanding
___Academic Ability / ___ Respectfulness / ___ Resilience___ Ability to Collaborate / ___ Conduct / ___ Effort
___ Works Independently / ___ Participation / ___ Articulates Thought
___ Self-Discipline / ___ Motivation / ___ Conflict Resolution
___ Leadership / ___ Accepts Feedback / ___ Integrity
Please comment on the applicant’s strengths. (Use additional paper as necessary)
______
Please comment on the applicant’s challenges. (Use additional paper as necessary)
______
Teacher Signature: ______
School Counselor Recommendation
TO BE FILLED OUT BY APPLICANT’S SCHOOL COUNSELOR
Student’s Full Name: ______
Date: ______
Counselor Name: ______
Counselor Email: ______
Counselor Phone: ______Counselor Fax______
Administrator’s Name: ______Email: ______
Attendance in 2015-2016 School Year: ______Days Tardy ______Days Absent
IEP/504? _____ Yes _____ No (Please submit a copy of the IEP/504 plan with the application.)
Please comment on the applicant’s strengths and challenges. (Use additional paper as necessary)
______
What about this student makes them an ideal candidate for the PACE program? (Use additional paper as necessary)
______
Counselor Signature: ______
Principal Signature: ______
** Please include a copy of the student applicant’s report card and discipline history for grades 7 and 8 in the application packet. **