Super Summer High School Bridge Academy Student Application Summer 2013

Due Dates and Deadlines

All Completed Applications Due: May 17, 2013 Students Notified by: May 24, 2013
Please be sure to return all parts of the application by the deadline.

Summer Academy Program Dates: June 17th July 26, 2013

STUDENT STATEMENT
The STUDENT must complete this form in his or her own handwriting. It should be completed in PEN not pencil or typed. We suggest your student write a rough draft first, review and edit content to questions prior to completing the official application for submission.

PARENT OR GUARDIAN STATEMENT

The parent(s) or guardian(s) should complete this form.

TEACHER REFERENCE FORM

After the STUDENT STATEMENT and PARENT OR GUARDIAN STATEMENT are completed, the student must give the complete packet to one of his/her current academic teachers to complete and forward to the principal for submission to our office.

PRINCIPAL COMPLETION
Principals Once you have the completed STUDENT STATEMENT, PARENT OR GUARDIAN STATEMENT, and TEACHER REFERENCE FORM, submit all packets for your school by May 17, 2013 to:

Duval County Public Schools Attn: Jacqueline Bowen Academic Services, 3 rd Floor Bldg. 3001
If there are any questions regarding the Super Summer Bridge Academy or the application process, please contact us: (904) 390-2133

Frequently Asked QUESTIONS ABOUT APPLYING TO

Superintendents 2013 High School Summer Bridge Academy
What if I want to apply but find the application difficult?
Call (904) 390 -2133 with any questions, or make an appointment to meet to receive advice and encouragement.

Where will the program be held?

This program will be held in following four High School locations: Mandarin, Sandalwood, Lee, and Raines.

Is transportation provided?
Transportation will not be provided; qualified applicants may receive a city bus pass.

Is it difficult to get accepted into the program?

There are many more qualified applicants than spaces available. The Super Summer Bridge Academy Admissions Committee attempts to select a student body that represents Duval County Public Schools diversity. Admission to the program is like a contest rather than a competition: something you take a risk and apply to attend, not something you win or lose.

What type of students does not get accepted to the program?

The same type of students who get in. All applicants sound wonderful. The Admissions Committee enjoys reading all the applications. However, we seek serious students who like to try new things, have a sense of humor and good work ethic, and would also contribute to our Super Summer Bridge Academy experience.

Any important advice?

Remember that applying to Super Summer Bridge Academy is like applying to a contest. You may or may not be accepted, but it is always worthwhile trying out for a new adventure.

Who should submit the packet?

The completed STUDENT STATEMENT and PARENT OR GUARDIAN STATEMENT should be given to one of your current teachers for completion. The teacher will submit the completed packet on your behalf to your school's principal. The principal or his/her designee will fax the completed applications, and then mail the original through the school mail to the address below.

More questions?
Call (904) 390 -2136 or visit our website at www.duvalschools.org 2

Student Statement
Please copy the below statement in your own handwriting. Please consider me for the Super Summer High School Bridge Academys 2013 Summer Session. I am currently an 8th grade student in Duval County Public Schools. I plan to attend at least 13 of the 19 summer session days. I will seek to explore learning new concepts, meet and collaborate with team mates, and participate in all planned activities throughout the summer program. Additionally, I will plan to attend at least one of the summer academy follow-up classes at the end of my 9th grade school year. The following student statement has been written by me without any assistance from another person.

First Name: Signature

Last Name: _________________________

M.I.

______

STUDENT CONTACT INFORMATION

Current Address:
Street City Zip

Home Phone: Current School: Sex (circle one): Male Female Grade Date of Birth: ___/ /____

Student School ID Number ____________________________ Name of Academic Teacher who will be writing your reference: __________________________

Help the Admission Committee get to know YOU!!!! Why are you applying?
COMPLETE THE FOLLOWING: 1. What do you think are your very best qualities? What do you like most about yourself?

2. How much time do you usually spend doing homework each night? ___________________ 3. Do you find your work at school? Too easy ______ Too hard______ About right _______ 4. If I wanted to have a great day, I would

5. Some things that make me laugh are

6. Some things that upset me are

7. I dream of someday holding the following job

8. One person I really admire is

9.

The SUPER SUMMER BRIDGE ACADEMY summer session sounds exciting because

10. ESSAY QUESTION You, like all of us, are probably concerned about a problem you see in your community. This problem may be in your school, your neighborhood, or your city. Please describe the problem as you see it and then offer some advice about how this problem might be solved or lessened. Feel free to use more paper than provided, if necessary. We strongly suggest that you write a practice or rough draft first on a separate sheet of paper, and then write your final draft below. Show us your very best writing!!

Parent Statement
This statement may be completed in any language. Esta forma puede ser llenada en Espaol.

Student Name: First Name of Mother or Guardian: First Current Address: Street Home Phone: Occupation: Business Address: Street Ethnic Background (optional) Email address: City Zip Work Telephone: Employed by: _ City Zip Last M.I. Last M.I.

Name of Father or Guardian: First Current Address: Street Home Phone: Occupation: Work Telephone: Employed by: _ City Zip Last M.I.

Business Address: Street Ethnic Background (optional) 6 City Zip

Email address: Is your child involved or experienced in any special activities that are particularly important to you and him or her? Examples might be music lessons, particular sports, church group, summer camp, youth club, etc. Please list in order of importance.

I understand that the four week 2013 Summer Session runs from June 17th through July 12th, Monday through Friday, 8:00 a.m. to 3:00 p.m. I also understand that during the summer session my child will be expected to attend at least 13 of the 19 days as well as a follow-up summer session during the school year. I understand that in addition to the summer sessions and the school year follow up session, there may also be periodic field trips and enrichment activities my child will have an opportunity to attend. I understand that, except in the case of illness, my childs attendance at all of the above events is required if he or she is selected for and enrolled in the SUPER SUMMER HIGH SCHOOL BRIDGE ACADEMY. I will encourage and support my childs participation in these activities, and I will do my best to attend any SUMMER BRIDGE activities for parents or guardians hosted at the summer site below:

Super Summer Bridge Academy Application Site: _____________________________

Parent Name ___________________________________________________________________ Signature _______________________________________________ Date___________________

REMINDER: Be sure your child takes the completed STUDENT STATEMENT and completed PARENT OR GRUADIAN STATEMENT packet to his or her TEACHER so they may complete the TEACHER REFERENCE FORM and submit the completed application to the school principal.

Teacher Reference Form

Student Name _________________________________________________________________ School _____________________________________ Teacher Name Grade __________________________ Subject

The Super Summer Bridge Academy is free academic enrichment programs open to all current DCPS Grade 8 students. We are seeking children with the ability to do well in school and who may not be performing at the full potential of their academic capacity. The program is intense and challenging. It involves critical thinking, collaborative group work, and problem solving skills. The selection committee is committed to selecting a student body reflecting the diversity of Duval County Public Schools. If you have any questions regarding the program, please call (904) 390 - 2136.

Circle the response that best describes the student: 1= No Basis for 2= Below 3= Fair 4= Good Judgment Average Academic Qualities Academic motivation Attitude toward homework Study skills Writing skills Math skills Intellectual curiosity Personal Qualities Willingness to try new activities Perseverance in doing difficult or new tasks Ability to be a group leader Willingness to volunteer for classroom activities Enthusiasm for class projects Ability to do independent work Self-confidence Reaction to criticism Sense of humor Concern for fellow students Contribution to positive spirit and life in your classroom General level of maturity Creativity Ability to relate openly with adults 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

5= Excellent

6= Outstanding

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6

What might this student bring to the SUMMER BRIDGE Academy? Do you know of any special interests, talents, or abilities this applicant has of which we should be aware that might help us in evaluating this application? ____________________________________________________________________________ I recommend this student to the 2013 Super Summer High School Bridge Academy:

____With great enthusiasm ____With confidence ____With some reservation ____ I do not Recommend
* Please tell us about any reservation you may have or any additional comments that might help us evaluate this application. __________________________________ Teacher Signature ____________ Date _________________________________ Email