DELAWARE CITY SCHOOLS

248 NORTH WASHINGTON STREET

DELAWARE, OH 43015

(740) 833-1100 FAX: (740) 833-1149

2013 SUMMER SCHOOL ENROLLMENT APPLICATION

Upcoming Grades 9-12

I am requesting that my child be enrolled in the Delaware City Schools’ summer school program. Seating is limited and priority will be given to those upperclassmen students who need to make-up failed courses. I understand that transportation is not provided and summer school sessions will be held during the following dates, times, and locations:

1.) Hybrid Algebra 1 (Make-up only): Monday through Friday from June 10 through June 28, 2013

Location: Hayes High School Time: 8:00 AM – 12 noon

This class will be taught partially online and partially in the classroom.

2.) Hybrid Geometry (Make-up only): through Friday from June 10 through June 28, 2013

Location: Hayes High School Time: 8:00 AM – 12 noon

This class will be taught partially online and partially in the classroom.

3.) APEX Six-Week Online Session: June 10-July 18, 2013*

Location: Hayes High School LMC* Optional Lab Times: Mon - Thurs 9 AM – 12 Noon (See calendar)

*All APEX students are required to attend Info/Training Session on June 10 or 11, 2013 from 9:00 am -12:00 noon. APEX students may work at home or attend lab times as needed. Please see attached calendar for lab times.

Communication via e-mail with the instructor will be required if working from home.

PE will not be offered through Hayes High School this summer. Students may choose to take PE online through

TRECA Summer School. Cost is $80 for 0.5 credit of PE. Visit http://summerschool.treca.org for more details.

Student Name: ______DOB:______

Student Gender: 1 M 1 F Home Phone #:______Cell / Day Phone #:______

School Last Attended: ______Grade Level for Current School Year: ______

(Grade level just completed)

Parent/Guardian Name: ______

Address: ______

Please indicate the course in which you are enrolling your child and attach appropriate payment. Students may sign up for only one course unless prior approval is granted.

All students are required to pay a $25.00 non-refundable deposit due upon registration. Deposit will apply to tuition cost.

Cost for Delaware City Students (Grades 9-12): APEX, Hybrid Algebra 1, & Hybrid Geometry: $150.00

Out of district students will be placed on a waiting list and notified of acceptance by June 7, 2013.

Cost for out of district students (Grades 9-12): APEX, Hybrid Algebra 1, & Hybrid Geometry $325.00

Hybrid Algebra 1:

1  Hybrid Algebra 1 – 1 credit (Make-up only) 60 hours

Hybrid Geometry:

1 Hybrid Geometry – 1 credit (Make-up only) 60 hours

APEX: Course request: ______New: ____ Make-up: ____

Courses available

English / Math / Science / Social Studies / Other
English 9 / Algebra 1 (new credit only) / Physical Science / World Studies / Health (.5)
English 10 / Algebra 2 / Biology / United States Studies
English 11 – Am. Lit / Geometry (new credit only) / Earth Science / Govt & Econ (.5 ea)
English 12 – Wld Lit.

Application and Deposit to be returned to Hayes by June 3, 2013

Full payment must be received by last day of class to receive credit.

Checks should be made payable to the Delaware City Schools.