ADMISSIONS INFORMATION &
APPLICATION PACKET
For academic year
2017-2018
ADMISSIONS POLICIES
Metrolina Regional Scholars Academy admissions policies are established to support the School’s mission:
Our school's mission is to be a non-discriminatory, K-8 public charter school that provides a differentiated, challenging education for children of high intellectual ability. We are a learning community that strives to meet the intellectual, social, and emotional needs of our students in a safe environment where they develop relationships with intellectual peers. Our goal is to prepare our graduates to become independent, productive, responsible, and creative individuals capable of making positive contributions to society.
The Scholars Academy is currently accepting applications for the 2017-2018school year. Students who score three or more standard deviations above the mean on an individualized cognitive abilities test (IQ) and have complete and accurate applications are automatically included in the eligibility pool. Applications with a score two standard deviations above the mean are reviewed by the School Based Admissions Committee to determine eligibility.
APPLICATION DEADLINE: JANUARY 27, 2017
GROUP TEST DEADLINE: DECEMBER 14, 2016
The complete application must be received in person by the end of the school day or post marked on or before January 27, 2017.
Completion of this form and submission of evidence of giftedness do not guarantee admission. Admission is based on test scores, nomination forms, and space available in grade/class lottery.
All completed applications will be reviewed by the admissions committee. Our primary admissions goal is to determine if a child can and will be successful at Scholars Academy based on our Charter. Once that is determined, all qualified children are entered into the lottery, where the drawing takes places publicly on February 23, 2017. Students who receive a seat, will be required to submit an intent to enroll form, securing their spot. Qualified siblings are given priority, although a seat cannot be guaranteed.
Proof of NC residency: 3 documents showing proof of North Carolina residency will be required for all children who intend to enroll. This will be due when submitting the Intent to Enroll form.
After a grade level is filled, the school will maintain a wait list. Students on this wait list will be ranked according to the lottery. If an opening occurs, the school will contact the family to offer them the open seat. The wait list starts fresh at every lottery.
Scholars Academy does not discriminate on the basis of sex, race, color, religion, sexual orientation or national origin in the administration of its educational programs, admissions policies, employment practices, or school-administered programs.
Please note that all students attending Scholars Academy must be fully immunized unless they qualify for a medical exemption under North Carolina law.
APPLICATION INFORMATION
For each child you wish to attend, please complete the following:
1) Application Form
2) Parent Nomination Form
3) Student Nomination Form (current 3rd grade and above)
4) Group Test Application, if applicable
5) Testing Verification Form from parent/guardian
6) Teacher Nomination Form: Ask your child’s current teacher to complete, place in a sealed envelope and sign across the seal. (Current Kindergarten students and above)
7) Private IQ testing or the school provides a one-time free group test to gain test scores necessary for admission. The group test is offered for families who choose not to have individual IQ testing completed for their child. The group test is not an IQ test, but a test Scholars Academy is confident in using to determine a student’s possible success at SA. The test is free of charge. We do not receive the results of the group test in time for you to also decide to do a private IQ test.
8) Testing Verification Form from testing professional
9) Teacher nomination forms, private test results and testing verification forms should be in sealed envelopes signed across the seal by the teacher or psychologist.
Your application must have all components before it is considered complete. You are responsible for having all of the above information in the application and turning in a complete application before the deadline. Call the School at 704-503-1112, if you need additional information. Enclose these forms in an envelope and deliver to the school or mail to:
Metrolina Regional Scholars Academy
5225 Seventy-seven Center Drive
Charlotte, NC 28217
If your child will not be five years old before August 31, 2017, please call the school for additional information and requirements.
SCHOLARS ACADEMY
APPLICATION FORM
Family and Biographical Information
Student’s Name
First Middle LastPreferred
Home Address
Street
CityState Zip County
Date of Birth Age as of August 31, 2017 Current grade
Is this child the sibling of a current MRSA student? Y / N
Sibling’s name, first and last ______
Home Phone Parent E-mail
School Attending 2016-2017
Father’s Name
First Middle LastPreferred
Home Address
If different from studentStreet
CityState Zip County
Mother’s Name
First Middle LastPreferred
Home Address
If different from studentStreet
CityState Zip County
How did you hear about the School?
SCHOLARS ACADEMY
PARENT NOMINATION FORM
Student’s Name
First Middle LastPreferred
Current Grade Age School Attending Date
My Child: / StronglyDisagree / Disagree / Neutral / Agree / Strongly
Agree
Often remembers things with a great deal of detail / 1 / 2 / 3 / 4 / 5
Often knows how to do something after FIRST demonstration (needs no or little re-teaching) / 1 / 2 / 3 / 4 / 5
Surprises me with the extent of his/her knowledge either about a single topic or in general / 1 / 2 / 3 / 4 / 5
Persists on projects even when s/he has a setback / 1 / 2 / 3 / 4 / 5
Applies his/her knowledge in new, unique situations / 1 / 2 / 3 / 4 / 5
Persistently demands reasons for questions that intrigue him/her / 1 / 2 / 3 / 4 / 5
Suggests original ways of doing things / 1 / 2 / 3 / 4 / 5
Likes to play with ideas / 1 / 2 / 3 / 4 / 5
Finds humor in things other children don’t find funny / 1 / 2 / 3 / 4 / 5
Is highly curious about the future, the unknown, and the connections between events / 1 / 2 / 3 / 4 / 5
Gets so involved with an idea or project that s/he focuses on it to the exclusion of other activities / 1 / 2 / 3 / 4 / 5
Sets high personal goals and is frustrated when s/he cannot meet those goals / 1 / 2 / 3 / 4 / 5
Likes to absorb as much information as she/he can about topics that interest him/her and actively pursues new information on that topic / 1 / 2 / 3 / 4 / 5
PARENT NOMINATION FORM - CONTINUED
Describe any ways your child is different from his/her peers.
Describe your child’s relationship with others.
Describe how your child feels about reading.
What does your child do with his / her free time?
SCHOLARS ACADEMY
SELF NOMINATION FORM
(Current 3rd grade or above)
Student’s Name
First Middle LastPreferred
Current Grade Age School Attending Date
My Child: / StronglyDisagree / Disagree / Neutral / Agree / Strongly
Agree
I learn most things the first time they are explained / 1 / 2 / 3 / 4 / 5
I enjoy discussing / debating ideas / 1 / 2 / 3 / 4 / 5
I like to solve problems in unique and unusual ways / 1 / 2 / 3 / 4 / 5
I see humor in things other kids don’t / 1 / 2 / 3 / 4 / 5
Other people think I am
Intelligent / 1 / 2 / 3 / 4 / 5
I have a good memory / 1 / 2 / 3 / 4 / 5
I can take things apart and put them back together / 1 / 2 / 3 / 4 / 5
I enjoy being around older kids and adults / 1 / 2 / 3 / 4 / 5
Kids my age often don’t
understand my ideas / 1 / 2 / 3 / 4 / 5
SELF NOMINATION FORM - CONTINUED
What is your favorite subject? Why?
What are the titles of some of your favorite books? Why are they your favorites?
How do you like to spend your free time?
What have you done that most children your age haven’t done?
Why do you need a special school?
SCHOLARS ACADEMY
TEACHER NOMINATION FORM
(Current Kindergarten or above)
Student’s Name
First Middle Last
Current Grade Age School Attending Date
Teacher’s Signature
This Child: / StronglyDisagree / Disagree / Neutral / Agree / Strongly
Agree
Often remembers things with a great deal of detail / 1 / 2 / 3 / 4 / 5
Often knows how to do something after FIRST demonstration (needs no or little re-teaching) / 1 / 2 / 3 / 4 / 5
Surprises me with the extent of his/her knowledge either about a single topic or in general / 1 / 2 / 3 / 4 / 5
Persists on projects even when s/he has a setback / 1 / 2 / 3 / 4 / 5
Applies his/her knowledge in new, unique situations / 1 / 2 / 3 / 4 / 5
Persistently demands reasons for questions that intrigue him/her / 1 / 2 / 3 / 4 / 5
Suggests original ways of doing things / 1 / 2 / 3 / 4 / 5
Likes to play with ideas / 1 / 2 / 3 / 4 / 5
Finds humor in things other children don’t find funny / 1 / 2 / 3 / 4 / 5
Is highly curious about the future, the unknown, and the connections between events / 1 / 2 / 3 / 4 / 5
Gets so involved with an idea or project that s/he focuses on it to the exclusion of other activities / 1 / 2 / 3 / 4 / 5
Sets high personal goals and is frustrated when s/he cannot meet those goals / 1 / 2 / 3 / 4 / 5
Likes to absorb as much information about topics that interest him/her and actively pursues new information on that topic / 1 / 2 / 3 / 4 / 5
TEACHER NOMINATION FORM - CONTINUED
What is the student’s achievement/grade level in:
Reading Math
How long and in what capacity have you known this student?
Metrolina Regional Scholars Academy is a public charter school that offers full time educational programming to meet the needs of highly gifted children ages 5-13. Students will explore the curriculum at a faster pace and in greater depth and complexity than is typically possible in a regular classroom.
Information on this form is confidential between the teacher and the admissions committee of the Scholars Academy and will not be revealed to parents without written consent from the teacher.
Do you think this child needs a special program for highly gifted children? Why? or why not?
Please describe the social/emotional development of this child.
What other information do you think we need to know about this child?
Please place the completed nomination in a sealed envelope, sign across the seal and return it to the parents of the applicant.
SCHOLARS ACADEMY
GROUP TEST APPLICATION
The group test is offered for families who choose not to have individual IQ testing completed for their child. The group test is not an IQ test, but a test Scholars Academy is confident in using to determine a student’s possible success at SA. The test is free of charge. We do not receive the results of the group test in time for you to also decide to do a private IQ test.
Student’s Name
First Middle Last
Home Address
Street
CityState Zip County
Date of Birth Current grade
Home Phone Parent E-mail
Alternate Phone Alternate E-mail
In order to be eligible for the school tests, you must have a completed application on file at Scholars Academy by December 11th, 2016.
I acknowledge that a group that a group testing situation can be stressful for very young children. I agree to follow the directions of the test administrator at Scholars Academy concerning my child’s participation in these tests. Once your child completes the test the Group Test results will be the scores used for application.
Group testing will be held on Saturday, January7th, 2017 from 9:00 am – 12:00 am at Metrolina Regional Scholars Academy, 5225 Seventy-seven Center Drive, Charlotte, NC 28217.
Parent Signature Date
SCHOLARS ACADEMY
TEST VALIDITY VERIFICATION FORM: PARENT
Intelligence tests scores compare your child’s scores on various cognitive tasks with other children the same age. An important assumption is that the children have no prior experience with the tasks. Intelligence test results are invalid if the child has taken the same test in the past year or has used a “practice kit” designed to simulate the tasks. If your child has already taken an IQ test in the past year or has practiced with a test kit, then you must use a different test.
The best way to prepare your child for the intelligence test tasks is to offer a verbally and nonverbally stimulating environment by talking with your child, reading with your child, asking questions, making observations, and engaging with your child’s surroundings.
Child’s name
FirstMiddleLast
Current IQ test Date of Test
Psychologist
Please report your child’s previous testing experience:
This is my child’s first intelligence test and my child did not receive any special preparation for this test.
My child has taken this test before, but the date was at least one year prior to the current test date. Previous test date(s)
My child has taken a different test before, but not this one.
Previous test date(s)
My child used a test preparation kit designed to improve scores on a different IQ test (note: use of these kits invalidates the child’s scores on that test at any point). My child did not use a preparation kit for the current test.
Parent Signature Date
SCHOLARS ACADEMY
TEST VALIDITY VERIFICATION FORM: PSYCHOLOGIST
(Parents Must Provide to psychologist at time of testing)
Child’s name
FirstMiddleLast
Current IQ test Date of Test
To the best of my knowledge, this child has not taken this IQ test in the past year, nor did they report any prior knowledge of or experience with specific test materials.
This child’s comments or pattern of responses suggests that they may have prior knowledge of or experience with specific test materials.
Please explain:
Psychologist Signature Date
Psychologist Name Printed
Testing Information
Testing should be done by a Licensed Psychologist or Licensed Psychological Associate who have experience completing intellectual assessment.
Tests accepted by The Scholars Academy for the purpose of admissions are:
The Group Test administered at the Scholars Academy
Stanford Binet Intelligence Scale V
Wechsler Intelligence Scale for Children IV (WISC IV)
Wechsler Preschool and Primary Scale of Intelligence III or IV (WPPSI III or IV)
Woodcock Johnson Cognitive Test
School administered tests are not accepted.
A psychologist in your area can be found on either of these websites or through a general internet search.
Mecklenburg Psychological Association: mpacharlotte.org
Psychology Today: psycologytoday.com
Application Checklist
❏1) Application Form
❏2) Parent Nomination Form
❏3) Student Nomination Form (current 3rd grade and above)
❏4) Teacher Nomination Form: Completed by teacher, placed in a sealed envelope with the teacher’s signature across the seal
❏5) Group Test Application, if applicable (due December 11, 2016)
❏7) Testing Verification Form from parent/guardian
❏8) Testing Verification Form from testing professional (parents provide to tester at time of testing, to be sent with testing results)
❏9) Obtain your child’s test results from cognitive abilities or IQ tests. Testing verification form and test results should be in a sealed envelope with the tester’s signature across the seal.
Application Deadline: January 27, 2017
Admissions Lottery: February 23, 2017 at the Scholars Academy
I understand that it is my responsibility to be sure that all the forms are together in this application and that I have followed all directions and the application is complete and is received at the Scholars Academy by Jan 27th, 2017.
______
Printed name of parent/Guardian Signature
______
Date
.
Metrolina Regional Scholars Academy · 5225 Seventy-seven Center Drive · Charlotte, NC 28217