Ysleta Independent School District Early College High School Application

IN-DISTRICT Admission - Fall of 2017 Please circle your first enrollment choice: Parkland Early College High School*

Valle Verde Early College High School

Ysleta High Early College Academy*

Please circle your second enrollment choice: Parkland Early College High School*

Valle Verde Early College High School

Ysleta High Early College Academy*

PART I: Student Information Student’s Name: ________________________________________________________________________________________ Last

Student ID: _________________

First

Middle

Date of Birth: ________________

Gender:

M

F

Parent/Guardian’s Name: _____________________________________________________________________________ Address: _________________________________________________________________________________________________ Number and Street

Home Phone: _______________________

City

State

Zip Code

Parent’s Daytime Phone Number: _________________________

Parent E-Mail: ________________________________

Student E-Mail: ________________________________

Current School: ________________________________

School Phone: __________________________________

Counselor Name: ________________________________

Counselor Phone: ______________________________

Please check applicable educational experience: Completed high school Took classes at a community college Graduated from a junior or community college Attended a four-year university Received a Bachelor’s Degree Received a graduate degree

Mother _______ _______ _______ _______ _______ _______

Father _______ _______ _______ _______ _______ _______

Parent Signature: ________________________________________________________________________________________

*Pending TEA Designation

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Ysleta Independent School District Early College High School Application

IN-DISTRICT Admission - Fall of 2017 Part II: Personal Inventory Which characteristics best describe you? Check all that apply. Shy
 _________ Creative
 _________ Friendly
 _________ Independent thinker _________ Misunderstood
 _________ Strong leadership skills
 _________ Good time management skills _________ Flexible/Team player
 _________ Loner
 _________ Readily accepts authority
 _________ Able to walk away from conflict _________ Are there any other characteristics that you would like to mention?

Part III: Written Responses Short Answer: What are your academic strengths and weaknesses? Response may be handwritten in ink or typed and must not exceed 200 words.

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Ysleta Independent School District Early College High School Application

IN-DISTRICT Admission - Fall of 2017 Part III: Written Responses Continued Please answer the essay questions on the lined pages of the application. Responses may be handwritten in ink or typed and must not exceed 500 words. Essay Question: An early college high school combines both high school and college courses. Why do you think you are ready to handle this type of educational experience and atmosphere? What benefits will you receive by attending an early college high school?

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Ysleta Independent School District Early College High School Application

IN-DISTRICT Admission - Fall of 2017

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Ysleta Independent School District Early College High School Application

IN-DISTRICT Admission - Fall of 2017 Part IV: Documentation To Parent/Student:

Please circle your first enrollment choice and have the middle school counselor complete this form. Parkland Early College Valle Verde Early College Ysleta High Early College High School* High School Academy* Attention: Ruben Alarcon Attention: Julie Elicerio Attention: Cathy De La Garza Please submit completed application with the following documentation to the counselor: 1. Current attendance record 2. Current discipline record 3. Middle school STAAR scores 4. Current school report card

To Counselor: The student named above is applying for admission to an early college high school. Please send completed application (pages 1-5) in a sealed envelope to the campus/individual indicated above no later than December 16, 2016. Do NOT return to student. Check off all of the programs listed below that apply to this student. List additional information on the lines provided. __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________

At-Risk AVID Bilingual/Dual Language Dyslexia Gifted and Talented LEP Special Education (if yes, list services received in the lined section below) Section 504 (if yes, list services received in the lined section below) Socioeconomically Disadvantaged

Additional information:

Counselor’s Name: ________________________________________________ _______________________________________________________ Counselor’s Signature

*Pending TEA Designation

Counselor’s Phone: ___________________________

____________________________________ Campus

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_____________________ Date