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Waiver/Appeal for High School Career Academy
Students that do not meet the criteria may appeal in writing to the Office of School Choice (850.469.5448) by March 1, 2011. For additional information about career academies, contact Workforce Education at 850.469.5358.
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1.
Student Information:
Please use student's LEGAL name.
(Required.)
Last Name:
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First Name:
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Middle Initial:
Current School Attending
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2.
SELECT CURRENT GRADE LEVEL
(Required.)
8th Grade
9th Grade
10th Grade (Students may only apply to academies within their attendance zone, and applicants must complete a waiver request)
Grade
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3.
STUDENT'S SOCIAL SECURITY NUMBER
(Required.)
XXXXXXXXX (No spaces and/or dash between numbers.)
4.
STUDENT 6-DIGIT ID NO.(If applicable)
XXXXXX
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5.
PARENT'S INFORMATION
Residential Address: Parent/Guardian living in same household as student.
(Required.)
Parent's Last Name
Parent's First Name
Address
City
State
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP Code
Work/Cell Phone Number (Put N/A if there is not a Work/Cell Number)
Home Phone Number: (Put N/A if there is not a Home Phone Number)
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6.
Select one academy, (MAKE SURE) you have selected the correct academy at the high school of your choice!
Review your selection before you submit the waiver/appeal form.
(Required.)
SELECT THE ACADEMY YOU APPLIED FOR, AND IN WHICH YOU ARE SUBMITTING THE WAIVER.
Booker T. Washington High School: Culinary Arts Academy
Booker T. Washington High School: Early Childhood Education Academy
Booker T. Washington High School: Ecommerce – Marketing
Booker T. Washington High School: Health Science Academy
Booker T. Washington High School: Web Design Services Academy
Escambia High School: Engineering
Escambia High School: NFA-ACE Flight (Aviation) Academy
Escambia High School: Culinary Arts Academy
Escambia High School: Early Childhood Education Academy
Escambia High School: Sports, Recreation, & Entertainment Marketing Academy
J. M. Tate High School: Health Sciences Academy
J.M. Tate High School: Early Childhood Education Academy
J.M. Tate High School: Game, Simulation & Animation Academy
J.M. Tate High School: Multimedia/Communications (TV Production) Academy
J.M. Tate High School: Veterinary Science Academy
Northview High School: Building Trades & Construction Design Academy
Northview High School: Graphic Arts Academy
Pensacola High School: Academy for Health Professions
Pensacola High School: Computer Aided Design (CAD) & Architecture Academy
Pensacola High School: Law and Public Service Academy
Pine Forest High School: Culinary Arts Academy
Pine Forest High School: Design Services Academy
Pine Forest High School: Early Childhood Education Academy
Pine Forest High School: Home Builders Association of West Florida (HBA) Green Construction Trades Academy
Pine Forest High School: New Media Academy
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7.
SELECT THE REASON, AND/OR REASONS THAT THE WAIVER IS REQUIRED.
(Required.)
DOES NOT MEET THE 2.0 OVERALL GRADE POINT AVERAGE.
SERIOUS DISCIPLINE INFRACTION.
MORE THAN EIGHT UNEXCUSED ABSENCES PER SEMESTER.
ENTERING THE 11TH GRADE.
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8.
EXPLAIN WHY A WAIVER/APPEAL SHOULD BE GRANTED, YOUR REASON FOR NOT MEETING ELIGIBILITY REQUIREMENTS, AND YOUR REASONS FOR WANTING ADMISSION INTO THE ACADEMY.
*ELEVENTH GRADERS EXPLAIN WHY YOU ARE APPLYING FOR ADMISSION INTO THE ACADEMY.
(Required.)
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9.
STUDENT SIGNATURE:
By typing your name here you are certifying that all the above information is true and correct, and you understand that misrepresentation of the information will invalidate this waiver/appeal.
(Required.)
Statement Concerning Collection of Social Security Numbers:
The Escambia County School District, in compliance with Florida Statutes, is required to inform individuals the purpose for collection of Social Security numbers. The District specifically collects Social Security numbers where it is authorized by law for such purposes and where it is imperative for the performance of the District's duties and responsibilities.
Escambia County schools do not discriminate on the basis of race, color, religion, sex, age, national origin, disability, or marital status in its employment practices or in the admission and treatment of students.
