Student s First Name, Middle Name, and Last Name (please type or print neatly) (if applicable)

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Martin Luther King, Jr. Early College TRANSFER Application 19535 East 46th Avenue Denver, CO 80249 720-424-0420 Denver Public Schools Submission Transfer Applications Must Be Turned In with COMPLETED, up-to-date Transcripts. Do NOT withdraw from your current school unless you receive a confirmed admission letter. Student s First Name, Middle Name, and Last Name (please type or print neatly) DPS Identification Number (if applicable) Birthdate (MM/DD/YYYY) TRANSFER APPLICANTS ONLY Applicants applying for (check one) Spring Semester 2011 or Fall Semester 2011 What grade level are you applying for? (check one) 9 th Grade 10 th Grade 11 th Grade 12 th Grade I attend the following Denver school: Montbello High School George Washington High School East High School Manual High School Bruce Randolph School DPS Online High School CEC Middle College Venture Prep Other School:. Location: Did you ever attend Martin Luther King, Jr. Early College for middle or high school? Yes Grade level(s) _ Student s Primary Residential Address City, State, Zip Full Name(s) of Parent(s) or Guardian(s) Mailing Address for Parent(s) or Guardian(s), if different from above Student s Home Phone Number Parent or Guardian Phone Number Additional Phone Number (i.e., work or cell) Parent(s) E-mail address Additional Phone Number (i.e., work or cell) As a magnet high school, the Early College does not require students to live in the City of Denver and does not require a proof of address. However, students new to the Denver Public Schools need to provide additional documentation: I am a student currently enrolled in Denver Public Schools. I do not need to provide additional documents. I am not a DPS student and have ATTACHED a copy of my birth certificate and my immunization record. Transfer Application 1 of 6 Spring 2011 and Fall 2011

Part One Solid Academic Record. It is your responsibility to ensure that your transcripts are sent to the Early College admissions committee. All of my transcripts are attached to this application. I have requested that my transcripts be sent to Martin Luther King, Jr. Early College. [Please list the name and phone number of the person who will be sending your transcripts: Part Two Willingness to Commit to the Program. The Early College s academic program is rigorous. Please answer the following questions. Write neatly. You may attach an additional sheet of paper, if necessary. (1) Why do you wish to transfer out of your current high school? (2) Why didn t you apply to Martin Luther King, Jr. Early College high school for the beginning of your freshman year? (Or, if you did apply, explain the circumstances of why you didn t attend: were you denied admission, or were you admitted but didn t enroll?) (3) Attach a schedule of your current coursework and estimate the grades you are receiving in those courses. Are there any courses you need to make up because of failing grades? If so, please list them. If you are failing or have failed high school courses, what plans do you have to recover that credit, and what plans do you have to prevent failure in the future? (4) What are your plans for college or post-secondary education? How will attending Martin Luther King, Jr. Early College help you reach your goals? Transfer Application 2 of 6 Spring 2011 and Fall 2011

release & Pre-Registration FORM Name Student I.D. Number Gender Female Male Ethnicity (optional) American Indian/Alaska Native Black (not of Hispanic origin) Asian or Pacific Islander Hispanic White (not of Hispanic origin) ELA Information 1. Does the student speak a language other than English? YES NO 2. If the student speaks a language other than English, what is that language? _ 3. The student speaks: No English Some English Another language and English equally Mostly or Only English 4. What language is spoken in the home by the parent/guardian? 5. What language do the parents/guardians prefer for school communications? English Spanish Other Student Services Information 1. Is your student receiving special education services? YES NO 2. Does your student have a current 504 plan? YES NO If yes, please indicate if related to: Academics Health 3. Was your child in any Gifted/Talented program? YES NO Describe: I have attached a copy of my child s IEP, 504, or ALP. Not Applicable (It is important for the Early College admission s committee to have all pertinent documentation.) Parent/Guardian Signature: _ : In case Martin Luther King, Jr. Early College needs to track down documents for you, please fill out this release. The following school(s): may send Martin Luther King, Jr. Early College all documentation, including IEPs, behavior reports, attendance records, and transcripts for:. Applicant s Name Parent/Guardian Signature (Fax Number: 720-424-0557) Transfer Application 3 of 6 Spring 2011 and Fall 2011

TEACHER EVALUATION FORM Do Not Give This Form Back to the Applicant Applicant s First Name, Middle Name, and Last Name (please type or print neatly) DPS Identification Number (if applicable) We authorize the person completing this form to submit a candid evaluation privately to Martin Luther King, Jr. Early College. Student Signature Parent or Guardian Signature To the person completing this form: This applicant is competing with other students for admission to Martin Luther King, Jr. Early College. A candid evaluation is most helpful. Do not give this form back to the student! Evaluation forms should be: (a) faxed to 720-424-0557, (b) sent via DPS school mail, (c) emailed to rachel_bruce@dpsk12.org, or (d) mailed to: Admissions Committee, Martin Luther King, Jr. Early College, 19535 E. 46 th Avenue, Denver, CO 80249. 1. How do you know the applicant? Teacher Counselor Principal Other 2. How long have you known the applicant? Please check the appropriate column for each of the items below, 1 for excellent to 5 for poor. If the item has not been observed, check N/O. 3. Characteristics of the applicant that would contribute to his or her success at the Early College: Positive leadership or influence on peers Good attendance Active participation in class/school activities Positive attitude and good motivation Desire to attend post-secondary education Completes assignments regularly and on time 1 2 3 4 5 N/O Excellent Poor 4. What are the first words that come to your mind to describe this student? 5. In your view, should the applicant be accepted for admission to the Early College? Place a check under the appropriate response. Feel free to write additional comments on the reverse. Yes, this applicant is an EXCELLENT candidate. Yes, this applicant is a GOOD candidate. This applicant will require some special guidance if admitted. Why? Why? Why? Why? No. Evaluator s name (please print or type): Daytime phone number: Signature: : Transfer Application 4 of 6 Spring 2011 and Fall 2011

Traducción en español está detrás de la página 3. Part Three Strong Parental or Guardian Support. The academic program at Martin Luther King, Jr. Early College is rigorous. Students are expected to devote themselves to their studies, maintain good attendance, participate in college readiness programs, behave according to DPS and school policies, and dress in the required uniform. When they attend college classes, field trips, or internships, students will be expected to be good ambassadors of Martin Luther King, Jr. Early College and the community. Students and parents must understand that the Early College is a magnet, college-prep high school with academic expectations over and above other DPS high schools. All students will be required to take the ACCUPLACER test to determine which college courses they can take. All students will be expected to take and pass A.P. or college courses during their tenure at the Early College. The Early College will operate under a cooperative agreement with the Community College of Aurora. The Early College will work diligently to provide tuitionwaived and concurrent-enrollment programs to our high school students. The primary programs are Post-Secondary Enrollment Options (PSEO) [now known as ASCENT] and Advanced Placement (A.P.). Students and their families may be responsible for some fees and/or textbook and calculator costs for college or A.P. classes. Martin Luther King, Jr. Early College will endeavor to keep the program affordable for all families. Tuition-waived programs generally require students to pass placement tests in order to take college-level courses. If a student FAILS to pass a college-level course, the student and family will be responsible for paying tuition costs. It is therefore critically important for students to maintain good grades and to work hard at improving their proficiency. Be aware that promotion from grade-to-grade at the high school level in Denver Public Schools (DPS) is only granted when students achieve a minimum of 60 credits. It takes a minimum of 240 credits to graduate from a DPS high school. Students who are not able to meet the rigor of Martin Luther King, Jr. Early College may be placed on probation in an effort to put required interventions in place to help the student succeed. Students may be placed on probation for academic, behavioral, attendance, or other reasons. Specifically, the Early College may place students on probation if they earn below a GPA of 2.7 in 9 th grade, below 2.8 in 10 th grade, or below 2.9 in 11 th grade. Students unable to meet the requirements of probation may be counseled to another high school. Course selection is determined by DPS graduation requirements. Placement in core classes will have scheduling priority above any electives. Students are not guaranteed placement in specific classes since the Master Schedule will be set by the administration. Factors such as maximum and minimum class sizes and the needs of the overall high school will drive schedule decisions. The Early College offers a limited number of non-core electives. Transportation to the Early College is not automatically granted for any high school students. Families must complete an Exception Form and be granted permission to ride on the middle school buses. Students living in the Rachel B. Noel attendance area will likely not be granted transportation. Parents and/or guardians are expected to actively support their sons and daughters as they progress through this rigorous program. They will be expected to guide their children toward post-secondary institutions and take advantage of the workshops offered by the Martin Luther King, Jr. Early College with regard to college admissions, financial aid, and scholarships. I have read the policy statements above, and I agree to them. I understand that the Martin Luther King, Jr. Early College academic program is rigorous, and I understand that my support is critical to s success. Applicant s Name Parent or Guardian s Signature I have read the policy statements, above, and I agree to them. Student s Signature Parental Survey It is very important for the Early College s success and for individual student s success that parents and guardians get involved in the school. Please mark the item(s) below for which you would be willing to volunteer your services. Activity Sponsor or Assistant Sponsor (coach, assistant coach, scorer, helper, etc.) Field Trip, Activity, or Dance Chaperone Fundraising Monthly Grounds Committee New Parent Ambassador Parent/Teacher Organization Translation/Interpretation Tutoring or Mentoring Other: _ Transfer Application 5 of 6 Spring 2011 and Fall 2011

Required Parent Question #1 In the space below, parents or guardians should write a statement explaining the primary reason why you wish your child to be accepted to Martin Luther King, Jr. Early College High School. Required Parent Question #2 In the space below, parents or guardians should write a statement describing your expectations of the Early College. Part Four Demonstrated Good Behavior. Students who have avoided discipline problems while in school will be considered more favorably than students who routinely get into trouble. Please attach a behavior report from your school. It is your responsibility to ensure that this information is sent to the Early College admissions committee. My behavior report is attached OR the Dean for my school has filled out a behavior report, below. I have requested that my behavior report be sent to Martin Luther King, Jr. Early College. Please list the name and phone number of the contact person who will be sending your report: To the Dean s Office: In the space below, please summarize the discipline record of the above-named applicant, or if there is access to the DPS Infinite Campus attach a Behavior Detail Report, a Conference Log, and an Attendance Detail. If you have questions, please contact Rachel Bruce at 720-424-0466. Dean s Office Signature and Title Have you ever been expelled or considered for expulsion from school? YES NO Have you been assigned community service, restitution, or any sentence due to a criminal offense? YES NO If you answered YES to either of the above questions, or if you have any behavior events from middle or high school that you wish to explain, please attach a separate piece of paper with your explanation. Transfer Application 6 of 6 Spring 2011 and Fall 2011