Eastwood Academy High School 2016-17 Application for Admissions Application for incoming freshmen and transfer students if space is available. Early Decision applications are binding: a student who is accepted as an ED applicant agrees to sign a commitment agreement to attend the high school. Early Action plans are nonbinding: students receive an early response to their application, but do not have to commit to the high school until the normal reply date in April 2017. Application Type: Early Decision Early Action Standard Application Section A: Student Information HISD ID#: (May be found on student s HISD report card or by calling the school.) Name of student: First Name Middle Name Last Name Grade applying for: Date of birth: Month Day Year Gender: Male Female Ethnicity: Hispanic/Latino Not Hispanic/Latino Race: Asian American Indian and Alaska Native Black or African American Native Hawaiian or other Pacific Islander White Current school: In HISD? Yes No Current grade: Section B: Family Information With whom does the applicant live as a permanent resident? (Check one box.) Both parents Mother only Father only Mother & step parent Father & step parent Other: Guardian #1 Present address of student s parent or legal guardian (student domicile) First Name Last Name Address Apt. City State Zip Phones: Home Cell Work *Email Address: HISD Employee? Yes No Guardian #2 Optional First Name Last Name Address Apt. City State Zip Phones: Home Cell Work *Email Address: HISD Employee? Yes No Page 1 of 6
Section C: Open-ended Response Questions All questions must be answered by the applicant. Responses must be hand-written and legible. 1. What is your favorite academic subject? Explain your response. 2. Describe your typical weekday from the moment school is dismissed. 3. What are you long-term goals where do you see yourself in ten years? 4. Outline your plan for ensuring your goals become reality. 5. Explain the reasons you have chosen to apply to Eastwood Academy. 6. Which area interests you more: Cyber Security or Engineering? Explain your response and include any experience you have in either area. Page 2 of 6
Section D: Written Essay On the lines provided, respond to ONE of the two prompts below. Essays should be hand-written by the applicant unassisted. The writing should demonstrate grade level knowledge of grammar, spelling, and punctuation. Initial next to the prompt of your choice. Prompt #1 Describe a problem you've solved or a problem you'd like to solve. It can be an intellectual challenge, a research query, or an ethical dilemma - anything that is of personal importance, no matter the scale. Explain its significance to you and what steps you took or could be taken to identify a solution. Prompt #2 The lessons we take from failure can be fundamental to later success. Recount an incident or time when you experienced failure. How did it affect you, and what did you learn from the experience? Page 3 of 6
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Section E: Teacher Recommendation Form This form should be completed by the current teacher, or teacher from the previous school year only. Submit only one teacher recommendation form with your application. Only the first form received will be used. This form MUST be returned in a sealed envelope signed by the teacher across the seal. Student Name: Current Grade: Evidence of possible giftedness: Please circle the word(s) that best indicates the degree to which the student exihibits the following characteristics in relation to students of similar age, experience, or environment. Teacher s Name (please print): Signature: Date: Teacher s Current School: Phone Number: Subject Taught: Teachers: Please return completed form to the parent/applicant in a sealed envelope with a signature across the seal. Page 5 of 6
Section F: Application Checklist A parent/guardian must initial next to each item on the checklist to ensure the application is complete. Applications submitted without all required components will not be considered for admissions. Parent Office Section A: Student Information Section B: Family Information Section C: Open-ended Response Questions Section D: Written Essay Section E: Teacher Recommendation Form (in sealed envelope with teacher signature across the seal) Section F: This completed checklist Most recent report card (2016-2017 school year) Proof of residency (one of the following) Utility Bill (water, light, or gas only) Copy of Lease Notarized letter from landlord Residency of a Minor form from HISD Final report card from 2015-2016 school year Permanent test record card (copy) Most recent state assessment (TAKS/STAAR) scores Social Security Number (if available) HISD Student Number (if available) Page 6 of 6
Eastwood Academy High School Application Timeline Keep this page for your records. October 1, 2016 January 20, 2017 Application Window Every Thursday through January 20, 2017 Campus Tours December 1, 2016 Early Decision and Early Action Application Deadline January 20, 2017 Standard Application Deadline January March 2017 Student Interviews February 23, 2017 at 6:00 p.m. Early Decision Signing Day March 23, 2017 First round acceptances mailed out until all spaces filled. April May 2017 Student and parent course selection/placement test Important Contacts Main Office: 713-924-1697 Mr. Mena, Assistant Principal: rmena@houstonisd.org Mrs. Lira, Principal: blira2@houstonisd.org Stay up to date on deadlines by following us on social media! Facebook: www.facebook.com/eastwoodacademyhighschool Instagram: @eastwood_boxers Twitter: @eastwoodboxers