Galileo School of Math and Science District 11 1600 N. Union Blvd. Colorado Springs, CO 80909 719-328-2200 Scholar Information Last Name: _______________________________First: _________________________________ Middle: __________________________Name Goes by:_________________________________ Street Address: __________________________________________Apt#:___________________ City: ________________________________________ State: _______ Zip:_________________ DOB:____/___/_____
Male: ___ Female: ___ Grade Level for the 2009-10 Year: _______
School now attending: _____________________________Home District: __________________ City: _________________________________________State: _______ Zip:__________________ Parent/Guardian(s) Information Mother/Guardian’s name: __________________________Day phone: (___)_______________ Street Address(if different):_____________________________________ Apt#:_______________ City: ________________________________________ State: _______ Zip:__________________ Home phone: (____)_______________________Cell/Pager: (____)________________________ E-mail Address: _________________________________________________________________ Military Status:
Branch______________ Active Duty _____
Retired_______ None______
Father/Guardian’s name: ___________________________Day phone: (_ _)_______________ Street Address(if different):_____________________________________ Apt#:_______________ City: _______________________________________ State: _______ Zip:__________________ Home phone: (____)______________________ Cell/Pager: (____)________________________ 1
E-mail Address: ________________________________________________________________ Military Status:
Branch______________ Active Duty _____
Retired_______ None_______
Exceptional Student Status if applicable IEP (Individual Educational Plan)________ 504__________ Gifted and Talented__________ ILP (Individual Literacy Plan) ________ I understand that participation in the Galileo School of Math and Science is dependent upon a successful application process. Both applicant and Parent/Guardian(s) will need to commit to an application interview. I understand that completing the application process does not necessarily guarantee acceptance into the school. Transportation for scholars outside of the school boundaries is the responsibility of the Parent/Guardian. Both applicant and Parent/Guardian understand that long term or excessive absences are strongly discouraged. I understand and agree to abide by the Galileo School of Math and Science Guidelines. __________________________________________ Scholar Signature
_________________________ Date
__________________________________________ Parent/Guardian Signature
_________________________ Date
I agree to follow the educational expectations contract attached to this application. ____________________________ Scholar’s Signature
____________________________ Parent /Guardian’s Signature
____________________________ Principal’s/Designee’s Signature
____________________________ Date
____________________________ Date
____________________________ Date
2
Educational Expectations Contract Scholars, Parent/Guardian(s) and staff all share the responsibility for scholar learning. By reading and signing this Contract everyone contributes to the success of the scholar. High Expectations for Student Achievement As the Scholar I will…
As the Parent/Guardian I will…
• Come to class prepared to learn: -Bring appropriate learning tools -Bring assignments to school as scheduled -Attend school daily and on-time
• Strive to achieve the learning targets for each of my classes using the prescribed expectations. • Actively seek support when I need it. • Participate in Extended Learning Opportunities (i.e. support sessions, research projects, & other learning activities). • Participate in Saturday Learning Opportunities (i.e. after school tutoring, research projects, & club activities). • Work hard to do my best. • Attend mandatory meetings.
• Make sure my child attends school prepared to learn. • Set high expectations for my child’s performance. • Review the learning targets and prescribed expectations for each of my child’s classes. • Keep track of my child’s progress through Parent Connect. • Monitor completion of scheduled assignments, and projects. • Be an advocate for my child when he/she needs support. • Encourage participation of Extended Learning Opportunities (i.e. support sessions, research projects, & other learning activities). • Attend mandatory meetings.
As the Galileo School of Math and Science staff, we will… • Provide a welcoming environment • Have high expectation for ALL scholars. • Clearly communicate grade level expectations and prescribed expectations. • Clearly communicate daily learning targets. • Provide appropriate instruction based on Colorado Standards and District 11 curriculum. • Differentiate instruction based on diverse learning styles and interests. • Keep up with current research and best practices. • Hold students responsible for work completion and quality. • Inform Parent/Guardian(s) of ways to support their child’s progress.
Safe and Effective Learning Environment As the Scholar I will…
As the Parent/Guardian I will…
• Abide by the Rights and Responsibilities Handbook of District 11. • Respect the rights and property of others. • Be respectful, courteous and cooperative towards fellow scholars, families, community members and school personnel. • Follow classroom and school rules. • Respect my learning environment. • Demonstrate appropriate behavior.
• Support my child to abide by the Rights and Responsibilities Handbook of District 11. • Respect the rights and property of others. • Be respectful towards scholars, families, community members, and staff. • Use discretion when contacting my scholar during school hours. • Provide my child with guidance in demonstrating appropriate behavior
As the Galileo School of Math and Science staff, we will… • Enforce and model the Rights and Responsibilities Handbook of District 11. • Enforce and follow rules concerning safety and respect. • Enforce the rights and protect the property of all students and staff. • Be respectful towards scholars, Parent/Guardian(s), community members, and fellow educators. • Enforce, educate, and model classroom and school rules. • Support and model appropriate behavior.
3
Dressing for Success As the Scholar I will… • Abide by the student dress guidelines in the Student Rights and Responsibilities Handbook (i.e. business casual).
As the Parent/Guardian I will… • Make sure that my child abides by the dress guidelines in the Student Rights and Responsibilities Handbook. • Provide my child with guidance in choosing attire that meets school and School District 11 guidelines.
As the Galileo School of Math and Science staff, we will… • Educate scholars and Parent/Guardian(s) on the dress guidelines of the school and School District 11. • Enforce the dress guidelines of the school and School District 11. • Support our colleagues with enforcement of the dress guidelines of the school and School District 11. • Model professional and appropriate attire.
Effective Communication As the Scholar I will… • Actively engage in your learning environment. • Talk with my family about what is going on at school. • Engage in communication with your school community that supports a positive learning environment. • Use a kind, respectful tone and language when speaking to others. • Respect other’s individuality.
As the Parent/Guardian I will…
As the Galileo School of Math and Science staff, we will…
• Use school information sources to keep up with school issues and activities (i.e. Parent Connect, School Newsletters). • Discuss with my child what is going on at school. • Participate in Parent/Guardian involvement opportunities, and school led seminars. • Use a kind, respectful tone and language when speaking to others. • Respect other’s individuality
• Inform Parent/Guardians of scholar’s progress in an effective manner. • Provide scholars with feedback in a timely manner. • Respond to Parent/Guardian’s and scholar’s questions and concerns in a timely manner. • Support meaningful involvement and partnership opportunities for Parent/Guardian(s) and scholars. • Use a kind, respectful tone and language when speaking to others. • Respect other’s individuality
PUBLIC NOTICE School District 11 is committed to a policy of nondiscrimination in relation to race, creed, color, sex (gender), ancestry, sexual orientation, religion, national origin, age and/or disability. Racial and/or sexual harassment of students will not be tolerated and must be brought to the immediate attention of the school principal or D-11 nondiscrimination compliance/grievance coordinator.
4