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The Christiana Middle School Honors Academy requires a high degree of commitment to academic and
extra-curricular activities. Our vision offers selected middle school students the opportunity to become
academically accomplished, confident, and wellrounded. Selected students will be educated using a
rigorous curriculum focused on developing core knowledge, critical thinking and reasoning skills. This
will be accomplished by providing each student with a smaller learning community that builds
confidence and knowledge which will enhance their individual high school experience. Students will
participate in Honors level core subjects (ELA, Math, Science, and Social Studies), will be required to
take a foreign language, and must participate in a performing arts elective.
Applications will be accepted for the 2017-2018 school year for 6th Grade only. To qualify for the
Christiana Middle School Honors Academy, each student must (by January 11, 2017):
Complete all sections of the Student Application
If you are applying from outside the Christina School District as a Choice student, you must
submit:
o The most recent report card for the academic years 2015-2016 (4th grade) and 20162017 (1st grading period from 5th grade)
o State Standardized Test Scores (2015-2016 Smarter Balanced Reading and Math, and
other applicable standardized tests, such as NWEA or STAR)
Current Christina School District Students do not need to provide report cards and test scores,
as these will be obtained through District data sources
Submit two (2) teacher recommendations
Submit a written description of extra-curricular activities. Please include in/out of school
enrichment activities
Complete the Parent Statement Form
Schedule an appointment to take the placement exam. The placement exam (approximately 1
hour) consists of:
o an English Language Arts performance task
o a Math Problem Solving performance task
Complete and submit a School Choice form. Regardless of your middle school feeder pattern,
you must apply for School Choice and indicate the Christiana Middle School Honors Academy as
the choice program. School Choice applications are available on the District website and at
every school beginning November 7, 2016. School Choice applications must be submitted to the
District Choice Office by 4 p.m. on January 11, 2017.
After a review of the completed application packet and placement exam scores, students will receive
written notification through the mail, indicating their status in regard to acceptance into the program.
The anticipated number of available seats is 125 for year one.
Questions? Contact the Office of the Assistant Superintendent at (302) 552-2739
Applications will not be processed until all required information is received.
Page 3 of 14
STUDENT APPLICATION
(To be completed in Grade 5)
Date of Application
Student Information
Last Name:
First:
MI:
Street Address:
City:
State:
Home Phone:
Student ID #:
Date of Birth:
Zip:
Gender:
Male
Female
Race:
Black/African American
White/Caucasian
Hispanic/Latino
Multi-racial
Asian American
First
MI
First:
MI:
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone
Cell Phone
Email address:
First:
MI:
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone
Cell Phone
Email address:
_________________________________________
Students Signature
Date
_________________________________________
Parent/Guardians Signature
Date
Return completed application and required documents to: Christiana Middle School Honors Academy,
Attn: Office of the Assistant Superintendent, 600 North Lombard Street, Wilmington, DE 19801
Questions? Contact the Office of the Assistant Superintendent at (302) 552-2739
Applications will not be processed until all required information is received.
Page 5 of 14
First
MI
To Teacher(s): Use the following rating scale to describe the students learning characteristics and levels of
motivation and creativity. Also, please provide comments you feel may be helpful to our selection process. Your
time and professional judgment in completing this form is greatly appreciated.
5 - Outstanding
4 - Excellent
3 - Good
2 - Average
Place a mark (X) in the appropriate box.
1 - Below Average
I. Learning Characteristics
Learns quickly and retains information
Demonstrates interest and curiosity about a wide range of topics
Possesses good oral and written communication skills
Follows routines, procedures, and directions
II. Motivation
Demonstrates an ability to work independently
Demonstrates an ability to collaborate with others
Shows
a high levelemotionally
of self-motivation
Is
self-confident,
secure, and self-assertive
Manages time well
Possesses organizational skills
Shows excitement and enthusiasm for learning
Completes class work, homework, and special projects on time
Demonstrates persistence when faced with challenges
III. Creativity
Generates novel or unusual ideas
Creates unique solutions to problems
Recognizes and appreciates connections
Is an independent thinker
Total Points
(continues)
Questions? Contact the Office of the Assistant Superintendent at (302) 552-2739
Applications will not be processed until all required information is received.
Page 6 of 14
First
MI
In the box below, please provide comments you feel may be helpful to our selection process.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
__________________________________
Teachers Name (Print)
_____________________________
____________
Teachers Signature
Date
Please place a mark (X) indicating your overall recommendation for the student based on the point total from
page 1.
_____Highly Recommend (80-71 points)
_____Recommend (70-61 points)
_____Recommend with Reservation (60-51 points)
_____Cannot Recommend (50 and below)
First
MI
To Teacher(s): Use the following rating scale to describe the students learning characteristics and levels of
motivation and creativity. Also, please provide comments you feel may be helpful to our selection process. Your
time and professional judgment in completing this form is greatly appreciated.
5 - Outstanding
4 - Excellent
3 - Good
2 - Average
Place a mark (X) in the appropriate box.
1 - Below Average
I. Learning Characteristics
Learns quickly and retains information
Demonstrates interest and curiosity about a wide range of topics
Possesses good oral and written communication skills
Follows routines, procedures, and directions
II. Motivation
Demonstrates an ability to work independently
Demonstrates an ability to collaborate with others
Shows
a high levelemotionally
of self-motivation
Is
self-confident,
secure, and self-assertive
Manages time well
Possesses organizational skills
Shows excitement and enthusiasm for learning
Completes class work, homework, and special projects on time
Demonstrates persistence when faced with challenges
III. Creativity
Generates novel or unusual ideas
Creates unique solutions to problems
Recognizes and appreciates connections
Is an independent thinker
Total Points
(continues)
Questions? Contact the Office of the Assistant Superintendent at (302) 552-2739
Applications will not be processed until all required information is received.
Page 8 of 14
First
MI
In the box below, please provide comments you feel may be helpful to our selection process.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
__________________________________
Teachers Name (Print)
_____________________________
____________
Teachers Signature
Date
Please place a mark (X) indicating your overall recommendation for the student based on the point total from
page 1.
_____Highly Recommend (80-71 points)
_____Recommend (70-61 points)
_____Recommend with Reservation (60-51 points)
_____Cannot Recommend (50 and below)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
First
MI
Return completed application and required documents to: Christiana Middle School Honors Academy,
Attn: Office of the Assistant Superintendent, 600 North Lombard Street, Wilmington, DE 19801
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
___________________
Students Name: ________________________________________________________________
Last
First
MI
Return completed application and required documents to: Christiana Middle School Honors Academy,
Attn: Office of the Assistant Superintendent, 600 North Lombard Street, Wilmington, DE 19801
ADMISSIONS RUBRIC
4th Grade Report Card (3rd Trimester/Final Marking Period)
Math
16 points
Reading
8 points
Writing
4 points
th
st
5 Grade Report Card (1 Trimester Grades)
Math
16 points
Reading
8 points
Writing
4 points
Standardized Test Scores
Standardized State Test Scores
20 points
Smarter Balanced ELA (4th Grade)
Standardized State Test Scores
20 points
Smarter Balanced Math (4th Grade)
Placement Exams
Placement Exam English Language
20 Points
Arts Performance Task
Placement Exam Math
20 Points
10%
5%
2.5%
10%
5%
2.5%
12.5%
12.5%
12.5%
12.5%
Teacher Recommendations
Extra-Curricular Activities
20 points
4 points
12.5%
2.5%
Total
160 Points
100%
4th Grade Report Card Final Semester and 5th Grade Report Card First Semester
28-point maximum for each report card
Math (x3)
Reading (x2)
Writing (x1)
Each EP = 4 points
Each EP = 4 points
Each EP = 4 points
Each MP = 3 points
Each MP = 3 points
Each MP = 3 points
Each NP = 2 points
Each NP = 2 points
Each NP = 2 points
Total Points = 16
Total Points = 8
Total Points= 4