Conant High School Project Lead the Way Application 2010-11
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1. 2010-2011 PLTW application
Before starting this survey please get parent/guardian permission to proceed.
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1
. Have your Parents and/or Guardian(s) given you consent to fill out this application?
Have your Parents and/or Guardian(s) given you consent to fill out this application?
Yes
No
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2
. What are the names of your parents and/or guardian(s)?
What are the names of your parents and/or guardian(s)?
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3
. What is your first name?
What is your first name?
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4
. What is your middle name? (x if none)
What is your middle name? (x if none)
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5
. What is your last name?
What is your last name?
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6
. What is your email address?
What is your email address?
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7
. What is your birthdate?
What is your birthdate?
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8
. What year will you graduate?
What year will you graduate?
2011
2012
2013
2014
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9
. What school do you attend?
What school do you attend?
Conant
Fremd
Hoffman Estates
Palatine
Schaumburg
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10
. Which Math Class are you in?
Which Math Class are you in?
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11
. Will you be taking a science class next year?
Will you be taking a science class next year?
Yes
No
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12
. Which Science class will you be taking?
Which Science class will you be taking?
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13
. What unweighted grade point average do you have?
What unweighted grade point average do you have?
<2.49
2.5-2.99
3.0-3.49
3.5-3.99
4.0
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14
. What is your weighted grade point average?
What is your weighted grade point average?
<2.49
2.5-2.99
3.0-3.49
3.5-3.99
4.0-4.49
4.50-5.0
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15
. What other classes have you taken pertaining to engineering?
What other classes have you taken pertaining to engineering?
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16
. STUDENT SHORT ANSWER-Read directions carefully.
1. Please answer the following two questions within the space provided below.
2. Essays will be scored with the English Department’s CLS writing rubric.
3. It is strongly recommended that your essay be developed using a word processing program to check for spelling and grammatical errors.
4. Additional help may be found at the English Tutoring center at your school.
5. If additional space is necessary submit hardcopy to the Department Chair of Applied Technology at your school.
Essay Prompt:
WHAT IS YOUR REASON FOR APPLYING TO THE PLTW PROGRAM?
STUDENT SHORT ANSWER-Read directions carefully. 1. Please answer the following two questions within the space provided below. 2. Essays will be scored with the English Department’s CLS writing rubric. 3. It is strongly recommended that your essay be developed using a word processing program to check for spelling and grammatical errors. 4. Additional help may be found at the English Tutoring center at your school. 5. If additional space is necessary submit hardcopy to the Department Chair of Applied Technology at your school. Essay Prompt: WHAT IS YOUR REASON FOR APPLYING TO THE PLTW PROGRAM?
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17
. What are your career goals?
What are your career goals?
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18
. Please enter your ID number here to submit your application
Please enter your ID number here to submit your application
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19
. Please contact the Applied Technology Department Chair at your respective school if you have questions regarding this application.
Submission of this application is a first step in the enrollment process. Final decisions regarding course registration will be determined by the cooperating high schools. Applications will be sorted using a rubric to provide a competitive yet equitable process for
student selection. Limited course seats are available for the 2010-11 School years at each of the five District 211 High Schools. Part of the review process may include an interview to determine qualified applicants.
Do you wish to process your application at this time?
(BE SURE TO HIT NEXT AT THE BOTTOM OF THE PAGE)
Please contact the Applied Technology Department Chair at your respective school if you have questions regarding this application. Submission of this application is a first step in the enrollment process. Final decisions regarding course registration will be determined by the cooperating high schools. Applications will be sorted using a rubric to provide a competitive yet equitable process for student selection. Limited course seats are available for the 2010-11 School years at each of the five District 211 High Schools. Part of the review process may include an interview to determine qualified applicants. Do you wish to process your application at this time? (BE SURE TO HIT NEXT AT THE BOTTOM OF THE PAGE)
Yes
No
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