Application for Hickory Career & Arts Magnet at College Park
2017-2018 School Year
Application must be completed in its entirety in order to be reviewed. Student grades and discipline for the current school year will be requested.
Applications due: March 15, 2017 by 5:00 PM
Programs available to 9th, 10th, and 11th Grade students in 2017-2018:
(Please mark 1st, 2nd, and 3rd choice in boxes below.)
Computer ProgrammingCulinary ArtsCriminal Justice: Forensics
Performing ArtsPhotography &Graphic Design Public Safety
Name of Student: ______Date of Birth:______
Age: ______Sex ______Ethnicity: Hispanic Not Hispanic Race: Asian Black Native American White Other
Name(s) of Parent/Legal Guardian:______
Home address:______
City: ______State:______Zip Code:______
Parent e-mail address:______
Residence phone:______
Business phone (m):______(f): ______
School assignment (by high school attendance zone): ______
School presently attending:______Number of High School credits: ______
Expected grade level for 2017-2018: 9th 10th 11th 12th Plan Score, if 10th grade or higher
Is the student currently identified as: ___ EC ____504____AIG If so, what area?
Will the student need bus transportation? (Available only to students living in Catawba County) Yes No
How did you hear about HCAM? ______
Please return this application to:
Emily DeVivo
Hickory Career & Arts Magnet High School
409 8th Ave NE
Hickory, NC 28601 Phone: (828) 328-6738
Fax: (828) 328-8539
In compliance with federal laws, Hickory Public Schools administers all educational programs, employment activities and admissions without discrimination because of race, religion, national or ethnic origin, color, age, military service, disability or gender, except where exemption is appropriate and allowed by law. Refer to the Board of Education's Equal Educational Opportunity Policy for a complete statement.
For office use only: Date/Time Received:______by
Student is recommended for acceptance. Grade Level_____
Student is #
on a waiting list.
Student is not eligible.
Reason for ineligibility
Signature of the Principal:______Date:
Entered into spreadsheet by: Date:
Letter Mailed by: Date:
Date: ______
Student Name:
1. Why would you like to attend Hickory Career & Arts Magnet?2. Tell us about yourself – how would others describe you?
3. What are your strengths/weaknesses?
4. What are your goals for the future (career plans, etc)?
5. Is there anything else that you would like to tell us that will help us get to know you?
Page 2 of 3
Parental Signature and Agreement Page
Parent Commitment Statement
I commit to be involved in my child’s education. I agree to be accessible and available to the school to discuss my child’s academic progress.
I understand HCAM is a 1: 1 digital learning environment and my student will be assigned a Chromebook. I further understand I will be required to attend a mandatory orientation/meeting with my student prior to receiving the device and that I will be required to pay a technology fee of $25.00.
Additionally, participation in some programs at HCAM may require my child to take online classes and/or courses from Catawba Valley Community College. If my child is enrolled in a course at another institution while still enrolled as a student at HCAM, my child is subject to the polices, procedures and regulations of the institution offering the class, especially those pertaining tograding, drop/add dates, and honor code. Any such coursetaken by a student will appear on the student'stranscript and the grade will be calculated into the grade point average unless that course is dropped according the drop/add procedures of the outside institution. I understand that there is a GPA requirement of 3.0 to be admitted into the college academies and that to remain in the college courses during the junior and senior year; I must maintain at least a 3.0 GPA. I also understand that my student must maintain a GPA of 2.0 to continue enrollment at HCAM. Students are expected to maintain appropriate behavior while enrolled at HCAM. Inappropriate behavior may be deemed as grounds for dismissal from HCAM.
By submitting this application, I understand the commitment of effort and time my child is undertaking if accepted into Hickory Career & Arts Magnet.This commitment includes agreeing to keep my child in the program for at least one full academic year. If at the end of any high school year my child is unwilling or unable to continue studies at Hickory Career & Arts Magnet, I understand that she/he will be reassigned to the high school of her/his attendance zone. I also understand that any academic, attendance or behavior problems will be sufficient cause to rescind any reassignment that may be granted.
Our signatures below affirm agreement to the parental commitment statement and acknowledge that all information provided in this application is accurate and complete.
Parent Signature:
Date