Application for the Academic School Year
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1 Maxson Middle School STEM Academy 920 East 7 th Street Plainfield, NJ Phone: (908) Application for the Academic School Year Dear Parents/ Guardians/Prospective Students: The Plainfield Board of Education is accepting applications for students interested in attending the Maxson Middle School (MMS) Science, Technology, Engineering and Mathematics Academy (STEM) for the school year. The MMS STEM Academy has been designed for students that have the aptitude and interest in Math, Sciences and Technology. The MMS STEM Academy will provide an environment that promotes diversity through student achievement, academic excellence, teamwork and technology in order to produce lifelong learners, productive citizens and future leaders. All rising 6 th grade students that reside in the Plainfield Public School District have the opportunity to apply for admission to the MMS STEM Academy. Applicants are required to complete all sections of this application for consideration in the admission process. The deadline for submission of the completed application is June 20, Sincerely, Dr. Reginald O. Davenport Principal 1 P a g e
2 Maxson Middle School STEM Academy Application Process for the School Year Application Checklist PLEASE NOTE: All items on the checklist must be submitted and complete in order to be considered for enrollment in the STEM Academy. 1. Applicant Information (page 3) 2. Personal Essay (page 4) 3. Parent/Guardian Statement (page 5) 4. One Math or Science Teacher Recommendation (page 6) The follow documents must be included in your application packet: 5. Full and/or Partial Year Report Cards or Transcripts from Grades 4, 5, 6: Present Year Report Card to date. 6. NJASK Scores from grades 4, 5, Attendance Record Mail or hand-deliver the completed application and required documents to the following address by Friday, June 21 st, Maxson Middle School 920 East Front Street Plainfield, New Jersey Phone: (908) P a g e
3 Application for the Academic Year Deadline: Friday, June 21 st, Applicant Information (Please print neatly) Student Last Name First Name Middle Date Date of Birth Gender Expected Grade Level Next September House Number Street Name Apt # City State Zip Parent/Guardian Name Home Phone # Parent Cell Phone # Work Phone # Primary Address Secondary Address Name of Current School Applicant is Attending Application continues on following page. 3 P a g e
4 Personal Essay Maxson Middle School STEM Academy Application for the Academic School Year Applicant Name Write an essay explaining why you would like to attend the Maxson Middle School STEM Academy. Include at least 2 qualifications that you possess that would make you an asset to the Academy. Also include any hobbies and interests that you have. Essay may be typed using Times New Roman font, size 12 or neatly written on 8 1/2 by 11 composition paper using blue or black ink. 4 P a g e
5 Parent/Guardian Statement Maxson Middle School STEM Academy believes students learn best when parents, guardians, students and faculty form a meaningful partnership. To ensure a commitment of involvement in the whole education of Maxson Middle School STEM Academy students, both faculty and parents must work closely and communicate often. To help us understand your child better, please answer the questions below. Child s Name: Current School: Write a statement that describes your child s qualities, strengths, and challenges. What are your expectations of the Maxson Middle School STEM Academy? Parent/Guardian Name (print) Signature Date 5 P a g e
6 Science or Math Teacher Recommendation Application for the Academic School Year Students are required to submit completed application packet and recommendation by Friday, June 21 st, (Please print neatly) Applicant Name: Current School: Please rate this student according to the criteria below. Place a check in the appropriate box below indicating your response. Problem Solving Skills Self-Motivation Emotional Maturity / Sense of Responsibility Academic Achievement Leadership Qualities Written Expression of Ideas Ability to Follow Directions Respect for Others Study and Work Habits Overall Attitude Towards School Below Very Excellent Average Average Good Good (top 10%) Please write a brief statement describing this students attributes which you believe will make them successful in the Maxson Middle School STEM Academy. Recommendation By: Print Name Title Signature Phone # 6 P a g e
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