Student Last Name / First Name / Middle Name
Home Address / City / Zip Code
Home Telephone Number / Present School of Attendance / Gender
Application Questionnaire: the applicant should answer the following questions. If you need more space to answer any questions, please attach a sheet of paper.
What are your interests or hobbies?
In what extra-curricular activities do you participate?
If you have done volunteer work in the past two years, tell us about it.
What do you and your family do together?
Write the reasons you wish to attend Sam Brannan’s Pre-AP Program.
Applicant Interests
Academic Interests
□Social Studies
□Mathematics / □Foreign Languages
□Science / □Visual and Performing Arts
□Academic Teams
Athletic Teams
□Basketball
□Soccer / □Track
□Golf / □Softball
Academic Teams
□Robotics
□Mathletes / □Speech / □Debate
Other Extracurricular Interests
□Band
□Orchestra
□ Japanese / □Student Newspaper
□Student Government/Leadership
□ Anime/Manga / □Drumline
□Cheerleading
□ Yearbook
I understand that Sam Brannan’s Pre-AP program requires rigorous effort and dedication. As a member of this program I am responsible for completing all program requirements including exit exams, service projects, and portfolio presentations.
Student Signature Date
In your own handwriting using blue or black ink (please do not type), respond to the following prompt:
Imagine that you are in the year 2026, when you have finished school and have a job. You want to send an email to your younger self describing what you do at work all day.
Select one of your favorite subjects in school and think about various jobs that use these skills. Then, write a draft for an email describing this ideal job. Include details about what you need to know, who you work for, where you work and what you like about your job. (Please limit your response to the space provided).
Mother/ Guardian First Name / Last NameStreet Address / City / Zip Code
Home Telephone Number / Work Telephone Number
Cell Phone Number / E-mail Address
Father/ Guardian First Name / Last Name
Street Address / City / Zip Code
Home Telephone Number / Work Telephone Number
Cell Phone Number / E-mail Address
I understand that Sam Brannan’s Pre-AP program requires rigorous effort and dedication. As a member of this program my child is responsible for completing all program requirements including exit exams, service projects, and portfolio presentations.
I also understand the Pre-AP team will need to review my child’s academic transcript, test scores, and attendance records. I authorize the review team to have access to these records.
Parent/Guardian Signature Date
Please attach a copy of your most recent CST scores and report card to this cover sheet and submit with your application.
Student First Name:
Student Last Name:
Current School:
6th Grade Teacher Recommendation Form
Recommendations are due by January 29, 2010The student named below has applied for admission to Sam Brannan’s Pre-AP Program. We would appreciate your assistance in completing this checklist to help us assess the student’s ability and to meet the student’s needs in our Pre-AP Program. This recommendation will remain confidential and will not become part of the student’s permanent record. Please be candid. Return this form to Pre-AP Program, Sam Brannan Middle School, 5301 Elmer Way, Sacramento, CA 95822. Please call Kamaljit Pannu, Principal at 264-4350 if you have any questions.
Student’s Name: Date:
Current School: School Phone:
Current Teacher: Signed:
Circle placement recommendation for math:
Characteristics / Outstanding / Good / Average / Poor / NAAbility to work independently
Contributions to class discussion
Critical and abstract thinking
Completes assignments on time
Classroom conduct
Works effectively in groups
Academic potential in Language Arts
Academic Potential in Math
Pre-Algebra Algebra I Geometry Algebra II
Application Deadline is January 22, 2010 (received, not post-marked).