W.E.B. DuBois Public Charter School
Home of the Colts
Principal, Joseph Perez
CHARTER YOUR PATHWAY TO SUCCESS
CAREER PATHWAY APPLICATION
PROGRAM DESCRIPTION
Charter Your Pathway to Success is a career readiness program that integrates common core academics with career pathways designed to lead to high-skill, high-wage, and high-growth jobs. Targeted students are from underserved, impoverished urban and rural areas of Fresno County that lack access to professional training opportunities. Students in K-8 will have exposure to the following pathways: Agricultural Business, Business Management, Education, Energy & Environmental Technology, Entrepreneurship, and Health Science & Medical Technology. Students will be exposed to career pathways through common core instruction, project-based learning, fieldtrips and career awareness activities. Middle School students will participate in Business Camps designed to promote entrepreneurship and innovation in the classroom.
STUDENT INFORMATION
School of Attendance:
W.E.B. DuBois Public Charter School
2604 Martin Luther King Blvd
Student Legal Last Name ______Legal First Name M.I. ______
Address Apt# ____City ___Zip Code ______
Phone Number ______Alternate Number ______
DOB / / Gender: M F Grade: _____ Sch. Program: Site Base Independent Study
Ethnicity: Is this student Hispanic or Latino? No, not Hispanic or Latino Yes, Hispanic or Latino
The above part of the question is about ethnicity, not race. No matter what you selected above, please continue to answer the following by marking one or more boxes to indicate what you consider the student’s race to be.
Race: What is the student’s race? (Select one or more)
American Indian or Alaska Native
Asian
Chinese Japanese Korean Vietnamese Asian American Laotian Cambodian Hmong
Other Asian
Native Hawaiian or Other Pacific Islander
Hawaiian Guamanian Samoan Tahitian Other Pacific Islander
Black or African American
White
Permission to Photograph and Film and Release of Liability
Due to the nature of the Career Pathway Program, students may be photographed or filmed while participating in the various career activities. We need parental permission for our school to be able to use the photographs and/or video for school publications, website, and/or television.
I give Agape Inc./W.E.B. DuBois my consent to photograph and/or film my son/daughter on campus and/or at a school related events for the purpose of school publications, television and/or website advertisement. I release Agape Inc. from all liability relating to the image likeness and representation.
I do not give Agape Inc./W.E.B. DuBois my consent to photograph and/or film my son/daughter on campus and/or at a school related events for the purpose of school publications, television and/or website advertisement.
______
Parent/Guardian Date
By signing this application, you agree to allow your child to participate in the Career Pathways Program.
______
Student Date
______
Parent/Guardian Date
______
School Counselor/School Administrator Date
2604 Martin Luther King Blvd. Fresno, CA 93706 | PH: (559) 237-4100 Fax: (559) 442-5811