Student Application Packet 2017-2018 To ensure the submission of a complete application packet, please review the list below and check off will each item. Application must be received, not post-marked by. Completed and signed application packets should be returned to: Jennifer Yee, PACE Coordinator 6715 Gloria Drive Sacramento, CA 95831-2008 Application Self - Checklist: (Please check off completed items and attach this form to the front of your application packet. Incomplete packets will not be considered for review. PACE application deadline Application must be received, not post-marked by. Walk-ins to JFK Main office by 3:30pm. Student Application Name Student ID# Student Essay (completed in student s own handwriting) Parent(s)/Guardian(s) Information Copy of most current report card Copy of 7 th grade CAASPP test result (California Assessment of Student Progress and Performance Report) Extra Curricular Activity Survey (completed in student s own handwriting) The following forms will not be included in your application packet but must be received at the PACE office no later than the application deadline: Teacher Recommendation form #1 Language Arts (Student should complete the form and provide the teacher with a stamped and pre-addressed envelope to PACE,, 6715 Gloria Drive, Sacramento, CA 95831. The teacher will mail the completed form directly to PACE.) Teacher Recommendation form #2 Math or Science (Student should complete the form and provide the teacher with a stamped and pre-addressed envelope to PACE,, 6715 Gloria Drive, Sacramento, CA 95831. The teacher will mail the completed form directly to PACE.) Page 1
PACE Student Application 2017-2018 Student ID# Please print in blue or black ink. Student Last Name First Name Middle Name Street Address City Zip Home Telephone Number Ethnicity Gender (M or F) Date of Birth Present School of Attendance Check, if applicable: I have/had a sibling in the PACE program at : List name(s) and class Parent(s)/Guardian(s) Information 2017-2018 Please print in blue or black ink. Mother/Guardian First Name Last Name Street Address City Zip Home Telephone Number Work Telephone Number Cell Phone E-mail Address Father/Guardian First Name Last Name Street Address City Zip Home Telephone Number Work Telephone Number Cell Phone E-mail Address Page 2
I have composed and written the following essay Student Name Student Signature Date STUDENT ESSAY Student Name In your own handwriting (please do not type) in ink, answer the following prompt: Consider these two proverbs: Look before you leap. and He who hesitates is lost. Which do you consider to be more important? Explain your answer in a multi-paragraph essay with a thesis. Use examples from your experience, observation, and reading. Please limit your response to the space provided. Thank you. Please note: Essay must be composed and written by student. Page 3
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Student Name Student ID # School EXTRA CURRICULAR ACTIVITY SURVEY Please complete survey or indicate if not applicable. Please list any clubs or organizations that you belong to and indicate if you hold a leadership position: Please list any school sports or recreational activities that you participate in and indicate if you hold a leadership position: Please list any community service you are involved in on a regular basis and describe your responsibilities: Page 5
6715 Gloria Drive Sacramento, CA 95831-2008 (916) 433-5200, x1326 Language Arts Teacher Recommendation Form 2017-2018 NOTE: Teacher recommendations must be from your current 8 th grade English instructor. The student listed below is asking you to complete this recommendation form: STUDENT APPLICANT S NAME (Please Print) (PACE) is a Small Learning Community (SLC) at John F. Kennedy High School. PACE offers students a four-year advanced academic program with an emphasis in English and history. The goal is to ensure that all PACE graduates are prepared to attend and succeed at competitive four-year colleges and universities. Each PACE student takes a rigorous college-prep curriculum (including math, science, and foreign language) and takes uniquely designed English and history courses with an emphasis on California history, government and literature. Please rate the applicant on the following characteristics by placing a mark in the appropriate column: Participates in class enthusiastically Comes to class on time Comes to class prepared Turns in assignments on time Treats other people with respect Accepts challenges without complaint Cooperates with requests Works well in groups Goes above and beyond what is expected Is Reflective about their classwork and teacher feedback Always Most of the time Usually Please provide any additional information about this candidate that you think will be helpful for the panel to consider: Seldom Current Grade in Class: Name Language Arts teacher information Subject(s) you teach please circle: LANGUAGE ARTS / CORE School name / Telephone Page 6 Please DO NOT return this form to the applicant. Return to PACE in the addressed and stamped envelope provided by the applicant. Letters may also be grouped together and sent via inter-office mail. Thank you for your time. time.
6715 Gloria Drive Sacramento, CA 95831-2008 (916) 433-5200, x1326 Math/Science Teacher Recommendation Form 2017-2018 NOTE: Teacher recommendations must be from your current 8 TH grade Math or Science instructor. The student listed below is asking you to complete this recommendation form: STUDENT APPLICANT S NAME (Please Print) (PACE) is a Small Learning Community (SLC) at John F. Kennedy High School. PACE offers students a four-year advanced academic program with an emphasis in English and history. The goal is to ensure that all PACE graduates are prepared to attend and succeed at competitive four-year colleges and universities. Each PACE student takes a rigorous college-prep curriculum (including math, science, and foreign language) and takes uniquely designed English and history courses with an emphasis on California history, government and literature. Please rate the applicant on the following characteristics by placing a mark in the appropriate column: Participates in class enthusiastically Comes to class on time Comes to class prepared Turns in assignments on time Cooperates with requests Accepts challenges without complaint Goes above and beyond what is expected Treats other people with respect Works well in groups Is reflective about their classwork and teacher feedback Always Most of the time Usually Please provide any additional information about this candidate that you think will be helpful for the panel to consider: Seldom Current Grade in Class: Name Math/Science teacher information Subject you teach - please circle: MATH / SCIENCE School name / Telephone Page 7 Please DO NOT return this form to the applicant. Return to PACE in the addressed and stamped envelope provided by the applicant. Letters may also be grouped together and sent via inter-office mail. Thank you for your time.