Baruch STEP Academy Spring 2018 New Student Application

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Baruch STEP Academy Spring 2018 New Student Application (STEM Lecture Series class pictured above) my

Dear STEP Applicant/Parent, We are delighted that you are inquiring about the Science and Technology Entry Program (STEP) Academy at Baruch College. Please review, complete and return the application to the STEP program by Friday, December 22, 2017. Please be sure to include the student, parent, and school agreements, a letter of recommendation, a current transcript, and the personal essay. Admission is competitive and seats are limited. Participants must demonstrate academic potential, interest, and high motivation for learning and continuing education. Academic performance, teacher recommendations, and the personal essay are used to evaluate a student s potential entry into the program. We have three components to our scheduling this semester. Our Middle School students will meet for our pre-high school math/science course in the morning. Our High School program (grades 9-12) includes three periods (math, science, elective). Interested juniors that wish to apply for our Kaplan Scholars program, please visit our website for that application. All applications should be received by December 22 nd through the mail or scanned and emailed to our office. We look forward to having you in the program. For further information, please feel free to contact us at (646) 312-4298/4301 or via email at BaruchSTEP@gmail.com and or at our website at www.baruch.cuny.edu/step Best regards, Brian Kane Brian Kane Baruch STEP Director

Program Eligibility To be an eligible applicant to STEP, you must: be a middle or high school student in grades 7-12 submit a completed application have an 80 average in Math, Science, and English have an 80 cumulative average be a resident of New York State identify as African American, Latino, Native American Indians or Alaskan Natives, OR meet state-determined economic criteria below: A student is considered economically disadvantaged if: a student s household income needs to be less than or equal to the income levels indicated below. Members in household New York State Opportunity Programs Income Eligibility Criteria 2016-2017 Total Annual Income (including head of household) (2016) 1 $22,311 2 $30,044 3 $37,777 4 $45,510 5 $53,243 6 $60,976 7 $68,709 8* $76,442 *add $7,733 for each family member in excess of 8 If applying under economic criteria, please provide 2016 s 1040 income tax form.

Application Completion Checklist Completed and signed Application for Admission (including social security number, email address, ethnicity, and signature forms) Typed 250 word essay on why you wish to attend Baruch STEP Current School Transcript and/or Report Card Letter of Recommendation from math or science teacher Copy of citywide math & reading scores (for 9 th grade applicants) Copy of PSAT scores (for 11 th & 12 th grade applicants) Copy of SAT and/or ACT scores (for 11 th & 12 th grade applicants) Copy of 1040 income tax form for 2016 (only if economic eligibility is required) Deadlines and Important Dates Application Deadline Friday, December 22, 2017 New Student Orientation Thursday, January 18, 2018 @ 4 pm Dates for Middle & High School Program: First Saturday Saturday, January 20 th Winter Break February 17 th & 24 th Spring Break March 31 st & April 7 th Last Saturday Saturday, May 5 th Kaplan sessions end either at 12pm/2pm (depends on if a diagnostic exam is scheduled) Please note that admission decisions will be made by January 8 th and you will be notified by email. Parents should include their email on the application if they would also like to receive information from STEP. By Mail: Baruch College STEP Academy Baruch College, B5-237 One Bernard Baruch Way New York, NY 10010-5585 Attn: Brian Kane By Email: BARUCHSTEP@GMAIL.COM Submit Applications To

APPLICATION FOR SPRING 2018 ADMISSION STUDENT INFORMATION LAST NAME FIRST NAME M. I. STREET ADDRESS APT NO. CITY STATE ZIP CODE HOME PHONE ( ) CELL PHONE ( ) DATE OF BIRTH / / NEW YORK STATE RESIDENT (CIRCLE ONE) YES NO ETHNICITY (CIRCLE ONE): BLACK LATINO NATIVE AMERICAN ASIAN WHITE GENDER (CIRCLE ONE) MALE FEMALE SOCIAL SECURITY NO. - - OSIS OR NYSSIS ID #: - - STUDENT E-MAIL ADDRESS (PLEASE PRINT CLEARLY) HAVE YOU BEEN PART OF A STEP PROGRAM (BESIDES BARUCH) IN THE PAST? IF YES, INSTITUTION: DATES OF ATTENDANCE: HOW DID YOU HEAR ABOUT BARUCH COLLEGE STEP ACADEMY? PARENT INFORMATION LAST NAME FIRST NAME M. I. SAME AS ADDRESS AS STUDENT (CIRCLE ONE) YES NO (IF NO PLEASE COMPLETE BELOW) STREET ADDRESS APT NO. CITY STATE ZIP CODE HOME PHONE ( ) CELL PHONE ( ) PARENT E-MAIL ADDRESS (PLEASE PRINT CLEARLY) IN CASE OF EMERGENCY, PLEASE CONTACT (OTHER THAN PARENT) PHONE ( ) RELATIONSHIP TO STUDENT

SCHOOL INFORMATION (FOR SPRING 2018) SCHOOL NAME ADDRESS CITY STATE ZIP CODE PHONE ( ) WEBSITE: PRINCIPAL: SCHOOL S BEDS CODE # (12 digit BEDS code provided by NYSED; if home schooled, give approving district name and BEDS code) DOES YOUR SCHOOL ADMINISTER REGENTS EXAMINATIONS? (CIRCLE ONE) YES NO GUIDANCE COUNSELOR NAME CONTACT PHONE NUMBER ( ) CONTACT EMAIL: ACADEMIC INFORMATION GRADE IN SPRING 2018 (CIRCLE ONE) 7 TH 8 TH 9 TH 10 TH 11 TH 12 TH CLASS RANK: EXPECTED DATE OF HIGH SCHOOL GRADUATION: 20_ DOES YOUR SCHOOL ADMINISTER REGENTS EXAMINATIONS? (CIRCLE ONE) YES NO TYPE OF DIPLOMA EXPECTED (CIRCLE ONE): REGENTS / ADVANCED REGENTS / OTHER OVERALL GPA: MATH GPA SCIENCE GPA SPRING 2018 EXPECTED COURSE NAMES FOR MATH, SCIENCE, AND ENGLISH (EX. MATH B TERM I) MATH: SCIENCE: ENGLISH: PLEASE INDICATE THE TOP THREE HIGH SCHOOLS OR COLLEGES TO WHICH YOU PLAN TO APPLY FIRST: SECOND: THIRD:

TEST GRADES REGENTS: INTEGRATED ALGEBRA GEOMETRY ALG II/TRIG ENGLISH LIVING ENVIRONMENT CHEMISTRY PHYSICS EARTH SCIENCE FOR 7 9TH GRADE APPLICANTS (IF KNOWN): MIDDLE LEVEL ASSESSMENT PERFORMANCE ON ENGLISH (ELA) MIDDLE LEVEL ASSESSMENT PERFORMANCE ON MATH MIDDLE LEVEL ASSESSMENT PERFORMANCE ON SCIENCE SHSAT: DATE MATH VERBAL _ WRITING NOT TAKEN YET FOR 10-12TH GRADE APPLICANTS (IF KNOWN): PSAT: DATE MATH VERBAL WRITING NOT TAKEN YET SAT (1 ST ATTEMPT): DATE MATH VERBAL WRITING NOT TAKEN YET SAT (2 ND ATTEMPT): DATE MATH VERBAL WRITING NOT TAKEN YET ACT: DATE MATH ENG. READ SCIENCE NOT TAKEN YET MISCELLANEOUS INFORMATION HONORS & ADVANCED PLACEMENT COURSES: (PLEASE LIST HONORS AND AP COURSES WITH NUMERICAL GRADES) LIST SPECIALIZED PROGRAMS, EXTRACURRICULAR ACTIVITIES, COMMUNITY SERVICE/INTERNSHIPS BaruchSTEP@gmail.com www.baruch.cuny.edu/step

STUDENT AGREEMENT I, (full name), agree to participate in the Science and Technology Entry Program (STEP) at Baruch College. I understand that as a participant I will attend all scheduled events and continue to demonstrate an attitude that reflects a serious commitment to the program. Those who are tardy or absent more than two times, exhibit inappropriate behavior, and/or do not adhere to the guidelines of the program will be dismissed. I understand that my signature on this document constitutes an agreement between me, my parentguardian, and Baruch College STEP Academy. Signature of Student Date: PARENT/GUARDIAN NOTIFICATION AND CONSENT I am aware that my child,, is participating in the Science and Technology Entry Program at Baruch College, located at 55 Lexington Avenue, New York. If my child does not show up to scheduled activities, I understand that the student will be removed from the program on the third offense. This form grants permission for field trips to conferences, colleges/universities, local exhibits, etc. I hereby give permission to release any and all grade reports, transcripts, educational records, and other pertinent information concerning my child to the Baruch College STEP Academy. I understand that the New York State Education Department requires that STEP have this information on record. I understand that all information will be kept confidential. To help increase awareness of the Baruch STEP Academy for other city students, I give permission for Baruch College and The City University of New York (CUNY) to use my child s image or photograph. PRINTED NAME OF PARENT/GUARDIAN DATE SIGNATURE OF PARENT/GUARDIAN HOME TELEPHONE BaruchSTEP@gmail.com www.baruch.cuny.edu/step

Spring 2018 COURSE SELECTION SHEET Full Name Spring 2018 Grade Level: MIDDLE SCHOOL PROGRAM PRE-ALGEBRA & GENERAL SCIENCE (9AM-12PM) 7 TH & 8 TH GRADERS WILL REVIEW PRE-ALGEBRA & GENERAL SCIENCE TOPICS. High School Program MATH COURSES (9:00AM-10:30AM) (LIST IN ORDER OF PREFERENCE) SCIENCE COURSES (10:30AM-12:00PM) (LIST IN ORDER OF PREFERENCE) ELECTIVE COURSES (12:30PM-2:00PM) (LIST IN ORDER OF PREFERENCE) INTEGRATED ALGEBRA REVIEW CURRENTLY ENROLLED IN AN ALGEBRA COURSE. THIS COURSE IS IDEAL FOR STUDENTS PREPARING FOR THE ALGEBRA REGENTS OR TO STRENGTHEN THEIR UNDERSTANDING OF THE SUBJECT. GEOMETRY REVIEW CURRENTLY ENROLLED IN GEOMETRY. THIS COURSE IS IDEAL FOR STUDENTS PREPARING FOR THE GEOMETRY REGENTS OR TO STRENGTHEN THEIR UNDERSTANDING OF THE SUBJECT. ALGEBRA 2/TRIGONOMETRY REVIEW CURRENTLY ENROLLED IN ALGEBRA 2/TRIGONOMETRY. THIS COURSE IS IDEAL FOR STUDENTS PREPARING FOR THE ALGEBRA 2/TRIGONOMETRY REGENTS OR TO STRENGTHEN THEIR UNDERSTANDING OF THE SUBJECT. ADVANCED MATH PRIORITY: 12 TH GRADERS STUDENTS WILL REVIEW MAJOR MATH TOPICS IN PREPARATION FOR COLLEGE LEVEL MATHEMATICS. LIVING ENVIRONMENT/BIOLOGY CURRENTLY ENROLLED IN A LIVING ENVIRONMENT OR BIOLOGY COURSE. THIS COURSE IS IDEAL FOR STUDENTS PREPARING FOR THE LIVING ENVIRONMENT REGENTS OR TO STRENGTHEN THEIR UNDERSTANDING OF THE SUBJECT. CHEMISTRY REVIEW CURRENTLY ENROLLED IN CHEMISTRY. THIS COURSE IS IDEAL FOR STUDENTS PREPARING FOR THE CHEMISTRY REGENTS OR TO STRENGTHEN THEIR UNDERSTANDING OF THE SUBJECT. ABNORMAL PSYCHOLOGY THIS LECTURE SERIES COURSE INTRODUCES STUDENTS TO THE STUDY OF BRAIN DYSFUNCTIONS/IRREGULAR BEHAVIORS. LECTURES WILL COVER MENTAL AND EMOTIONAL DISORDERS. ADVANCED SCIENCE DESIGNED FOR STUDENTS STUDYING FOR THE AP CHEMISTRY, AP BIOLOGY AND AP ENVIRONMENTAL SCIENCE EXAMS. STUDENTS INTERESTED IN MAJORING IN SCIENCE OR WANTING TO EXPAND THEIR UNDERSTANDING OF THESE SUBJECTS ARE WELCOMED. COLLEGE READINESS WORKSHOP PREREQUISITE: MANDATORY FOR 9 TH GRADERS THIS COURSE IS DESIGNED TO HELP STUDENTS IDENTIFY INTERESTS, RESEARCH COLLEGES AND MAJORS, SET PERSONAL/ACADEMIC GOALS, AND LEARN ABOUT THE ADMISSIONS AND FINANCIAL AID PROCESS FOR ENTERING COLLEGE THROUGH GUEST PANELS, TRIPS AND CLASS ACTIVITIES. ESSAY WRITING OPEN TO: 10TH 12TH GRADERS STUDENTS WILL CRAFT PERSONAL ESSAYS FOR COLLEGE ADMISSIONS AND SCHOLARSHIPS. ESSAYS WILL BE REVIEWED IN A WORKSHOP STYLE SETTING. ANALYSIS OF COLLEGE LEVEL READING WILL BE INCORPORATED. PSYCHOLOGY POSTER PRESENTATIONS OPEN TO: 10TH 12TH GRADERS STUDENTS WILL LEARN THE PROCESS OF CREATING A RESEARCH POSTER. PRESENTATION SKILLS WILL BE DEVELOPED: PUBLIC SPEAKING, PERSONAL APPEARANCE AND DEFENDING YOUR RESEARCH. COLLEGE TRANSITION SKILLS PRIORITY: 12TH GRADERS THIS COURSE IS DESIGNED TO HELP SENIORS PREPARE TO BE SUCCESSFUL IN COLLEGIATE AND PROFESSIONAL ENVIRONMENTS (RESUME WRITING, MOCK INTERVIEWS, BALANCING CAMPUS LIFE, ACADEMIC/CAREER COUNSELING AND FINANCE MANAGEMENT). BaruchSTEP@gmail.com www.baruch.cuny.edu/step