Admission Application For Medical Academy and Agriculture Academy Deadline: March 1, 2016 Selection Criteria is based on the following: • GPA of 2.8 or better • Two Recommendation Forms • Academy Essays • Personal Statement • Individual Interview For additional information please contact Mrs. Campos, Le Grand High School Counselor/Coordinator, at 209-389-9400 ext. 1014 [email protected] Le Grand Union High School District: 12961 E. Le Grand Road • Le Grand, CA 95333 Le Grand High School 209-389-9400 THE MEDICAL AND AGRICULTURE ACADEMIES LE GRAND HIGH SCHOOL AGRICULTURE ACADEMY: The Le Grand High School Agriculture Academy Program will increase the number of students who graduate from high school and go onto a university to become competitive applicants for agriculture colleges and universities. The Agriculture Academy will work to strengthen the educational population of under-represented or disadvantaged students throughout Merced County and encourage them to enter a professional agriculture field. MEDICAL ACADEMY: The Le Grand High School Medical Academy Program will provide opportunities for tomorrow’s leaders in medicine in order to improve the health and health care of minority and underserved communities by emphasizing in education, research, and service. The Medical Academy Program of Le Grand High School will strive to educate culturally diverse students to become future health professionals. We will engage our students in a rigorous program of mathematics and science courses enhanced by the use of technology. We will broaden our students’ learning by offering opportunities outside of the classroom through service learning in medical and health related facilities. Academy Selection criteria is based on: • Submission of Program Application • Two Letters of Recommendation • Academy Specific Essay • GPA of 2.8 or above • Personal Statement • Individual Interview Expectations of Academy students: 1. Enroll in the most rigorous, accelerated classes with an emphasis on Math, Science, and English. (Honors & Advanced Placement) 2. Commit to the Academy 4 year plan 3. Maintain a minimum of a 2.8 academic grade point average (GPA) 4. Participate in summer enrichment and summer school programs 5. Participate in study academies, study trips, and other activities LE GRAND UNION HIGH SCHOOL ACADEMIES APPLICATION PROCESS ACADEMY APPLICATION CHECK LIST: Complete and review that your application is typed or printed legibly in ink, and includes the following items due March 1st: Student and Parent Information (include parent and student signatures) Personal Statement Health Disparity Essay if applying to Medical Academy Agriculture Issue Essay if applying to Agriculture Academy 7TH & 8th grade transcripts showing all grades Due March 4th: Two Recommendation Forms (submitted online or paper form to Mrs. Campos) MAILING INFORMATION: MAIL OR DROP OFF APPLICATION by 4pm March 1, 2016 To: LE GRAND UNION HIGH SCHOOL DISTRICT 12961 E. LE GRAND ROAD LE GRAND, CA 95333 PHONE: (209) 389-9400 FAX: (209) 389-4065 IMPORTANT TIMELINES: March 1, 2016: March 4, 2016: March 7th & 8th 2016: March 23, 2016: April 6, 2016: Application Due Recommendation Forms Due to Mrs. Campos Interviews for finalists Notices of acceptance sent Recognition Event -----Page Left Blank Intentionally----- Application: Please check the box for the academies you are applying for. STUDENT INFORMATION: □Agriculture Academy □Medical Academy Name: ______________________________________________________ Male ____ Female ____ Date of Birth (mo/day/year): __________________________________________ Address: ________________________________________________City: ________________ Zip Code: __________ Home Phone #: ___________________________________ Cell Phone # _______________________________ Email address: ______________________________________________________________________________ Current School: _______________________________________________Current GPA: ___________________ If applying to Medical Academy: Indicate the top three health or medical professions are you most interested in 1. _____________________ 2. ____________________ 3. _____________________ If applying to Agriculture Academy: Indicate the top three agriculture related professions are you most interested in 1. _____________________ T-Shirt Size (Adult sizes): □S 2. ____________________ □M □L 3. ____________________ □XL □XXL PARENT(S)/GUARDIAN(S) INFORMATION Father’s/Guardian Name: _______________________________Work phone #________________ Cell # ______________ Mother’s/Guardian Name: ______________________________Work phone #________________Cell # _______________ Legal Parent/ Guardian Address: ________________________________City: __________________ Zip Code: _________ Email address: _______________________________________________________________________________ Student’s Race (for statistical and reporting purposes only): □ Laotian □ Samoan □ Vietnamese □ Asian Indian □ Chinese □ Tahitian □ Other Pacific Islander □ Cambodian □ Japanese □ Hmong □ Filipino/Filipino American □ Guamanian □ Korean □ Hawaiian □ African American or Black □ Other Asian □ White (Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East) □ American Indian or Alaskan Native (Persons having origins in any of the original people of North, Central or South America Student’s Ethnicity (for statistical and reporting purposes only): • □ Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, • regardless of race) □ Not Hispanic or Latino Language spoken at home: _______________________ Language for written materials: ___________________ Highest level of education completed by: Mother/Guardian □ □ □ Did not finish high school Some college Father/Guardian □ □ □ High school graduate AA/AS Degree □ □ □ Did not finish high school Some college □ □ □ High school graduate AA/AS Degree BA/BS Degree Graduate Degree BA/BS Degree Graduate Degree Student Signature _______________________________________________________ Date_________________________ Legal Parent/Guardian Signature __________________________________________ Date__________________________ Parent & Student Commitment Form Parent/Student, please retain this for your records: If selected to participate in an academy you will be agreeing to the following and signing this Commitment Form. 2016-2017 Student / Parent Commitment Form STUDENT’S NAME: __________________________________________________________________ Student Commitment: (Please read and initial) As a student in the Academy program, I commit to the following: ______ Participate in a rigorous four-year academic plan that may include Advanced Placement classes and SAT college preparation courses ______ Maintain a 2.8 grade point average (GPA) ______ Attend all classes daily and arrive promptly ______ Communicate with teachers and Academy staff when I need assistance ______ Participate in Study Academies outside the school day ______ Participate in study trips, school, and community activities ______ Attend and complete summer enrichment activities ______ Represent Le Grand High School Academy Programs, my family, and myself in a positive and responsible manner ______ Exhibit good citizenship (behavior and attitude) Parent /Guardian Commitment: (Please read and initial) ____________ As the parent of an Academy student, I commit to supporting my son or daughter who will: ______ Participate in a rigorous four-year academic plan that may include Advanced Placement classes and SAT college preparation courses ______ Maintain a 2.8 grade point average (GPA) ______ Attend all classes daily and arrive promptly ______ Communicate with teachers and Academy staff when I need assistance ______ Participate in Study Academies outside the school day ______ Participate in study trips, school, and community activities ______ Attend and complete summer enrichment activities ______ Represent Le Grand High School Academy Programs, my family, and myself in a positive and responsible manner ______ Exhibit good citizenship (behavior and attitude) ____________ As a parent of an Academy student, I commit to Participate in the following parent events: _____________ Parent Report Card Night in Fall & Spring _____________ Be actively involved in student’s education _____________ Fall and Spring Conferences I HAVE READ AND UNDERSTAND MY COMMITMENT TO THE LE GRAND HIGH SCHOOL ACADEMY PROGRAM: STUDENT SIGNATURE: _______________________________________ Date: FATHER/GUARDIAN: Signature: ______________________________________________Date: MOTHER/GUARDIAN: Signature: ______________________________________________Date: Parent/Student, please retain this for your records _________________________ _________________________ ________________________ Compromiso de Padres y Estudiantes Padres/Estudiantes mantengan esto para sus archivos: Si son seleccionados para participar en la academia, van a estar de acuerdo con lo siguiente y firmaran este compromiso. Academia Medica de la Escuela Secundaria de Le Grand Compromiso de Padres y Estudiantes para el ano escolar 2016-2017 Nombre del Estudiante: __________________________________________________________________ Compromiso del Estudiante: ( Por favor lea y ponga su inicial) Como estudiante en una Academia, me comprometo a lo siguiente: ______ Participar en un plan académico de cuatro años rigurosa que puede incluir clases de Colocación Avanzada y SAT cursos de preparación universitaria ______ Mantener un promedio de 2.8 (GPA) ______ Asistir a todas las clases diariamente y llegar puntualmente ______ Comuníquese con los maestros y personal de la Academia cuando necesito ayuda ______ Participar en Academias de estudios voluntarias fuera del día escolar ______ Participar en viajes de estudios, la escuela y las actividades comunitarias ______ Actividades de enriquecimiento de asistir y completar verano ______ Represente Le Grand Escuela Secundaria y la Academia, a mi familia ya mí mismo de una manera positiva y responsable ______ Exhiben buena ciudadanía (comportamiento y actitud) Compromiso del padre/tutor: (Por favor lea y inicial) ______ Como el padre de un estudiante de una Academia, me comprometo a apoyar a mi hijo/hija que hará lo siguiente: ______ Participar en un plan académico de cuatro años rigurosa que puede incluir clases de Colocación Avanzada y SAT cursos de preparación universitaria ______ Mantener un promedio de 2.8 (GPA) ______ Asistir a todas las clases diariamente y llegar puntualmente ______ Comuníquese con los maestros y personal de la Academia de Medicina cuando necesito ayuda ______ Participar en Academias de estudios voluntarias fuera del día escolar ______ Participar en viajes de estudios, la escuela y las actividades comunitarias ______ Actividades de enriquecimiento de asistir y completar verano ______ Represente Le Grand Escuela Secundaria Academia de Medicina, a mi familia ya mí mismo de una manera positiva y responsable ______ Exhiben buena ciudadanía (comportamiento y actitud) ____________ Como padre de un estudiante de la Academia de Medicina, me comprometo a Participar en los siguientes eventos para los padres: ______ Noche de Calificaciones en el otoño y primavera ______ Participar activamente en la educación de los estudiantes ______ Reuniones y Conferencias para Padres durante el otoño y primavera HE LEÍDO Y ENTIENDO MI COMPROMISO CON LA ACADEMIA DE LA ESCUELA SECUNDARIA DE LE GRAND: FIRMA DEL ESTUDIANTE: _________________________________________ Fecha: _________________________ PADRE/TUTOR: Firma: ____________________________________________________ Fecha: _________________________ MADRE/TUTOR: Firma: ____________________________________________________ Fecha: ________________________ Parent/Student, please retain this for your records Applicant/Student Name: ____________________________________________ Recommendation Form/Evaluator Information The Recommendation Form is a valued part of the admission process for the Le Grand High School Academies. Students are asked to submit the names and contact information for 2 Evaluators. Evaluators will be contacted via e-mail to complete an electronic Recommendation Form. While it is highly recommended that Evaluators be a Math, Science, or English Teacher it is not required. If Evaluator/Recommender prefers to submit a paper form rather than electronic please complete Recommendation Form and do not sign Evaluator agreement below. If you have any questions or comments please feel free to contact Mrs. Rosa Campos, Counselor/Coordinator at [email protected] or (209) 389-9400 ext. 1014. Evaluator agreement: I agree to have the Academy Recommendation Form sent to me via email and complete it for the student named above. Evaluator 1 Name: _________________________________ E-mail: _________________________________ Signature: ______________________________ Evaluator 2 Name: _________________________________ E-mail: _________________________________ Signature: ______________________________ Two Essays are required for the LGHS Academies application. These must be in your own words. (Please pay attention to format, grammar, punctuality, and proper citations. Plagiarism will result in an automatic disqualification of an application. Please type or print legibly in ink.) PERSONAL STATEMENT ESSAY: Required for Medical and Agricultural Academy. A. Please provide a 1-2 page essay addressing the following: v Why you have chosen to apply to the Medical Academy and or the Agricultural Academy. v How you have prepared yourself academically for high school. v Tell us about your talent, experience, personal quality and the contributions you would bring to the Medical Academy and or the Agricultural Academy. HEALTH DISPARITY ESSAY: Required for Medical Academy B. On a separate sheet, please provide a minimum of two paragraphs that describes the following: v Please define health disparity and identify at least one within our community. AGRICULUTRE ISSUE ESSAY: Required for Medical Academy B. On a separate sheet, please provide a minimum of two paragraphs that describes the following: v Please describe an agriculture issue that is currently facing California agriculture and how it affects Merced County.