magnet contract & checklist 17-18 pdf version€¦ · 02/04/2020 · microsoft word - magnet...
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STUDENT INFORMATION Student Name: ________________________________________________________________________ Last (Apellido) First (Primer Nombre) Middle (Segundo) App (Apéndice) Birthdate: __________________ Place of birth: ___________________ Sex: _______________ MM / DD / YYYY City / State Female / Male Mes / Dia / Año Ciudad / País Private School: ______ has the student attend an MDCPS school in previous year: _______ (Escuela privada Si / No ) (el/la estudiante ha asistido a cualquier MDCPS escuela en años anteriores Si / No) Is student currently in MDCPs? ID Number: ______________________ (actualmente matriculado en una escuela MDCPS) Address / Dirección: ____________________________________________________________________ Indicate parent’s/guardian’s contact phone number to be used for emergencies and automated messages: (numero de telefono que podamos usar para emergencias y/o llamdas automaticas) Phone / Telefono: _______________________________________________ Father Name: _______________________________________ Cell Number: _______________________ (Nombre del Padre) Place of Employment: ________________________________ Work Number: ______________________ (Nombre de Empleo) Father’s email address: __________________________________________________________________ (correo electronico del padre) Mother Name: ______________________________________ Cell Number: ______________________ (Nombre de la Mamá) Place of Employment: ________________________________ Work Number: _____________________ (Nombre de Empleo) Mother’s email address: _________________________________________________________________ (correo electronico de la mamá) IT IS THE PARENT’S RESPONSIBILITY to inform the school in person of any changes in the information listed on this form. Date: ______________________________ Printed Parent Name: _______________________________ Parent’s Signature: ________________________________________________
TERRA Environmental Research Institute - 9th Grade Subject Selection Form - 2020-2021 School Year
Name: ____________________________________ Student ID # ______________________________ (Last Name) (First Name) (MI)
Parent’s Phone Number: _______________________ E-Mail Address: ___________________________
Gifted Student: ________
Directions: Courses will be selected during registration with a TERRA staff member. Please review and select your Elective courses prior to registration (see below).
Language Arts _____ A12 English I Honors _____ A13 English I Honors/Gifted
Mathematics ___ B22 Geometry Honors
___B23 Geometry Honors/Gifted
___ B32 Algebra II Honors
___ B33 Algebra II Honors/Gifted
___ B51 Pre-Calculus Honors
___ B52 Pre-Calculus Honors/Gifted
Science ____ C22 Biology I Honors
____ C23 Biology I Honors/Gifted ____ C42 Chemistry I Honors ____ C43 Chemistry I Honors/Gifted
___ C52 Physics I Honors ___ C53 Physics I Honors/Gifted
Social Studies ____ D12 World History Honors
____ D13 World History Honors/Gifted
____ D90 AP World History
____ D91 AP World History/Gifted
Academy Courses___ L01 Biomedical Research ___ K01 Environmental Research & Field Studies ___ M01 Robotics & Engineering Technology
Electives Choose five (5) electives from this section, number 1 being your first choice.
World Language Electives Non-Spanish Speakers Only
_____ F01 Spanish I
_____ F02 Spanish II
_____ F03 Spanish III Honors
_____ F04 Spanish IV Honors
Spanish Speakers Only
_____ F05 Spanish (Speakers I)
_____ F06 Spanish (Speakers II)
_____ F07 Spanish (Speakers III) Honors
_____ F08 Spanish (Speakers IV) Honors
_____ F90 AP Spanish Language
_____ F11 French I
_____ F12 French II
_____ F13 French III Honors
_____ F14 French IV Honors
_____ F31 Japanese I
Visual and Performing/Fine Arts Electives (*Requires Teacher Signature) _____ A60 Journalism I (Newspaper)
_____ A85 Debate I
_____ T31 Visual Technology I
____ W01 Theater I
____ W25/W26 Art I
____ W27 Art II*
____ W53 Concert Choir
___ W41 Guitar I
___ W91 Concert Band (1 year experience)*
___ W73 Orchestra (1 year experience)*
___ W84 Symphonic Band (Audition)*
Physical Education Elective
________ P01/P02 Personal Fitness/Comprehensive Fitness
Schedule changes will not be made after Subject Selection Form has been submitted. TERRA Environmental Research Institute reserves the right to make changes deemed necessary based on the master schedule. Selection of electives is based on availability. Based on phone conversation, the parent acknowledges the schedule is binding and approved by the counselor on your behalf.
Note: Advanced Placement (AP) courses are college level course. Please consider the rigor and challenge the course entails prior to requesting the course.
______________ ______________________ ________________________ Date Parent’s Signature Student’s Signature
Counselor Initials: __________ Date: ___________
MIAMI-DADE COUNTY PUBLIC SCHOOLS
HOME LANGUAGE SURVEY To Be Completed By Parent or Guardian I student l.D. No. ________ _
Student Name ________________ -----------------Last First Middle
Date of Birth -----'----'--Grade ___ Parent Language--------- Student Language--------Month Day Year
Date Entered U.S. School : ----'----'---
Ethnic (Check all Hispanic __ (Y/N} that apply) Race: \NhiteD Black D Asian D
Month Day Year American Indian D Native Pacific Islander D If the answer is "YES" to any of these questions, the student must be tested for English proficiency.
1. Is a language other than English used in the home?
2. Did the student have a first language other than English?
3. Does the student most frequently speak a language other than English?
School _______________ Date------ Parent/Guardian Signature ____________ _
CC: FILE IN CUMULATIVE FOLDER TO STAFF FOR TESTING
FM-5196ESH Rev. (05-16)
TERRA Environmental Research Institute •11005 SW 84th Street •Miami, FL 33173 • José L. Sirven, Principal 305-412-5800 • 305-412-5801 (FAX) • www.terrawolves.com
MAGNET CONTRACT AGREEMENT 2020-2021 SCHOOL YEAR
The student and parent have read, understood and agreed to abide by the following in order to be a student at TERRA Environmental Research Institute:
The TERRA Environmental Research Institute Magnet Contract. Initials: ________
The TERRA Environmental Research Institute Honor Code Policy. Initials: ________
The Miami Dade County Public Schools Attendance Policy. Initials: ________
The TERRA Environmental Research Institute Dress Code Policy. Initials: ________
The Miami Dade County Public Schools Media Release Parental Consent Form and Model and Talent
Release Form. Initials: ________
The Miami Dade County Public Schools Acceptable Use Policy for Computers, Cellular Telephones and
Internet Usage. Initials: ________
__________________________ __________________________ Print Student’s Name Student’s ID Number __________________________ __________________________ __________________________ Student’s Signature Parent/ Guardian Signature Date