Student interest profile - Tacoma Public Schools...to include, please include photos of your work....

Last Name: Legal First Name:

Preferred First Name: Birthday:

Home Address: City: State: Zip:

Parent Name:

Parent Phone: Parent Cell Phone:

Parent Email Address:

School currently attending:

Yes, I live within Tacoma Public Schools District. No, I don’t live within Tacoma Public Schools District

Tacoma Pubilc School District Student I.D. number:

Yes, I have a sibling currently attending SOTA or SAMi:

Siblings Name: Sibling Student ID Number:

I UNDERSTAND THAT FILLING OUT THIS FORM DOES NOT OBLIGATE ME TO ATTEND SOTA OR SAMI NOR DOES IT GUARANTEE THAT I WILL BE ACCEPTED TO EITHER OF THE SCHOOLS.

Student Signature Date

Parent Signature Date

YES! I am interested in applying to...Starting in FALL of 2015. Please check only ONE BOX

SAMI SOTA

Student interest profilefor additional information

I am interested in the following programs...Please circle rank your three choices 1 • 2 • 3

Instrumental Music Drawing/Painting Photography Audio Recording

Music Industry Vocal Music Songwriting Video Production

Graphic Design Dance Technical Theater Engineering

Mathematics Earth & Space Sciences Biological Sciences Physics

1•2•31•2•31•2•31•2•3

1•2•31•2•31•2•31•2•3

1•2•31•2•31•2•31•2•3

1•2•31•2•31•2•31•2•3

STUDENT NAME ________________________________ STUDENT I.D. # __________ SCHOOL OF THE ARTSSCIENCE AND MATH INSTITUTE

1102 A STREET SUITE 238 TACOMA WA 98402 5501 NORTH PEARL STREET TACOMA WA 98407

Student ApplicationClass of 2019

APPLICATION SUPPORT WORKSHOPS 2:30 to 4:00pmDATES & LOCATIONS

BAKER MIDDLE SCHOOL GRAY MIDDLE SCHOOL

JASON LEE MIDDLE SCHOOL FIRST CREEK MIDDLE SCHOOL

STEWART MIDDLE SCHOOL GIAUDRONE MIDDLE SCHOOL

THURSDAY, NOVEMBER 13TH THURSDAY, NOVEMBER 13TH TUESDAY, NOVEMBER 18TH TUESDAY, NOVEMBER 18THWEDNESDAY, NOVEMBER 19THWEDNESDAY, NOVEMBER 19TH

INTERVIEW DATES: DECEMBER 2, 3, 4, 6Application and Interview must be completed and submitted by December 6, 2014 to be considered for admission in the cohort class of 2019.

1. PLEASE READ ALL DIRECTIONS BEFORE BEGINNING

2. Complete the Student Evaluation included in this packet.

3. Ask a teacher to complete the Teacher Evaluation and return it to you in an envelope.

4. Choose three pieces of Student Work - Choose one piece that represents your best work from most of your current classes. “Best work” does not necessarily mean you received a high grade, rather it is work that you feel best represents your ability, passion and/or growth in the subject. You should have a total of 3 pieces: English - Language Arts, Math- Science, Your Choice .

The Your Choice option can be an artistic work, another academic work or any piece of work that you feel represents you as a student. If your work sample is a piece of visual art, please make sure it is a photo copy. If it is an audio recording , please make sure it is on an audio CD. (WORK WILL NOT BE RETURNED)

Examples of appropriate work many include, but are not limited to: written assignments, projects, assessments, or in-class work. All work should fit within a manila file folder. Please use photocopies. If you have a large project you would like to include, please include photos of your work. Student Work samples will not be returned.

3. Complete the Student Works page for each of your three pieces.

4. When you finish, your application should include:

1. Self Evaluation2. Teacher Recommendation (in envelope with teacher signature)4. Three Pieces of Student Work (English/Language Arts, Science/Math., Your Choice )5. Community Basics Agreement

5. Come to your scheduled interview to turn in and review your application with faculty and students. Interview times are on the sticker on the front of this packet. If the time/date will not work for you, please call to reschedule.

CONFUSED?

CONFOUNDED?

C U R I O U S ?

Instructions

for additional information 571.2309

COMMUNITY EMPATHY BALANCE THINKINGSCIENCE AND MATH INSTITUTE5501 NORTH PEARL STREET TACOMA WA 98407

name address city state zip home phone cell phone

ww

w.

ts

am

i.

or

g

571•2309ASK US! WE’LL HELP!

ww

w.

ts

am

i.

or

g

S A M I

This evaluation must be completed by the student applicant. • Please type or print clearly.

Name (your name) is applying for admission to SAMI. We appreciate your thoughtful responses to the following questions. Please answer each question completely and thoroughly.

1. Why are you interested in becoming a student at SAMI?

2. Give an example of how you work well with teachers and other students.

Self evaluation

ww

w.

ts

am

i.

or

g


ww

w.

ts

am

i.

or

g

SAMI

3. Rate yourself in the following areas

Excellent Above Average Average Below Average

Creativity

Reliability

Ability to collaborate

Flexibility

Self-Discipline

Honest / Trustworthy

Independent thinking

Organizational/Planning skills

Punctuality

Ability to cooperate

Interpersonal Skills

Leadership

4. Choose a quality from the grid above and give an example of a time when you demonstrated this quality.

Follow Through

Academic Achievement


www.tsami.orgfor additional information 571-2309

STUDENT NAME ________________________________ STUDENT I.D. # __________ Tacoma Public SchoolsSCIENCE AND MATH INSTITUTE 5501 NORTH PEARL STREET TACOMA WA 98407

Excellent Above Average Average Below Average

Creativity

Reliability

Ability to collaborate

Flexibility

Self-Discipline

Honest / Trustworthy

Independent thinking

Organizational/Planning skills

Punctuality

Ability to cooperate

Interpersonal Skills

Academic Achievement

Follow-Through

This letter of recommendation must come from a current teacher.Please type or print clearly. This form may be duplicated.

TO THE RECOMMENDER: is applying for admission to SAMI.

We appreciate your thoughtful responses to the following questions. Please complete this form, then sign and seal it in an envelope. Please then return it to the student applicant who will turn it in with their completed application.

1. Please indicate your evaluation of the applicant by checking one appropriate space for each area.

Leadership

Teacher Recommendation

ww

w.

ts

am

i.

or

g


ww

w.

ts

am

i.

or

g

SAMI

2. What are the applicant’s strengths as you see them?

3. What are the applicant’s challenges as you see them?

4. Please choose one:

I strongly recommend the applicant for admission to SAMI. I recommend the applicant for admission. I recommend the applicant for admission with some reservations. I do not recommend the applicant for admission.


www.tsami.orgfor additional information 571.2309

STUDENT NAME ________________________________ STUDENT I.D. # __________ Tacoma Public SchoolsSCIENCE AND MATH INSTITUTE 5501 NORTH PEARL STREET TACOMA WA 98407

1. Place a “best work” for English / Language Arts behind this page.Please answer the following questions for your “best work” (REMEMBER WORK WILL NOT BE RETURNED)

Student Works

Why did you select this piece as a “best work”? English / Language Arts

What skills did you use to complete this piece?

What would you do next time to improve your work?

ww

w.

ts

am

i.

or

g


ww

w.

ts

am

i.

or

g

SAMI

2. Place a “best work” for Science/ Math behind this page.Please answer the following questions for your “best work” (REMEMBER WORK WILL NOT BE RETURNED)

Student Works

Why did you select this piece as a “best work”? Science / Math



ww

w.

ts

am

i.

or

g


ww

w.

ts

am

i.

or

g

SAMI

3. Your Choice AssignmentYour Choice

Why did you select this piece as a “best work”?



Choose an additional best work to showcase. It can be an artistic piece, another academic piece or any piece of work that you feel represents you as a student. If your work sample is a piece of visual art, please make sure it fits into a manila folder. (Should be a photocopy) If it is an audio recording , please make sure it is on an audio CD. (REMEMBER WORK WILL NOT BE RETURNED)

ww

w.

ts

am

i.

or

g


ww

w.

ts

am

i.

or

g

SAMI

MISSION STATEMENTThe mission of SOTA AND SAMI is to utilize our community resources to offer a creative path of learning which emphasizes human expression through the sciences, mathematics and arts as central elements in academic achievement and lifelong endeavors.

The Tacoma School of the Arts and the Science and Math Institute will:• Stimulate higher level thinking and problem solving skills• Provide advanced training in the arts• Prepare students to meet the challenges of the 21st century• Incorporate experiential and innovative approaches to learning• Use both public and private facilities• Connect students to the larger community• Build this creative learning community using the resources of our whole city

In light of the SOTA AND SAMi mission statement and principles:SOTA and SAMi staff, students, and parents will:

• Act as agents of change in our urban community setting• Encourage positive personal connections among ALL members of the SOTA and SAMi community• Collaborate in creating an integrated curriculum• Share responsibility for a safe, ethical and focused place to learn• Respect and protect school and community property and equipment

SOTA and SAMi students agree to:• Behave and dress appropriately at all SOTA and SAMi activities• Respect requests and directions given by adults• Respect others regardless of class, disabilities, gender, race, religion, sexual orientation, and any other differences that may exist• Participate fully in mentor groups and all school functions• Attend, engage, and perform in all academic courses and artistic endeavors• Respect and protect school and community property, equipment, and resources in our school and community

SOTA and SAMi staff agrees to support students by addressing any breach of contract with the following interventions:• Communicate with other staff• Conference between mentor and student to clarify and discuss incidents• Assist students to creatively solve the problem• Assign RASH (Required After-school Study Hour)or alternative resources to get back on track academically• Involve families in problem solving

Consequences for serious or repeated infractions may include:• Formal conference between family, staff, mentor, and student • Required study skills class the following semester if a D or E is earned in any class at semester’s end• Academic probation status (Required Study Skills class, loss of privileges such as participation in showcase, etc.)• Administrative interventions including suspension or expulsion• Formal counseling as to a more appropriate site placement for the student

In addition to the information stated above, all students will receive a SOTA / SAMi Student Handbook In it are the Student’s Right, Responsibilities and Regulations. Please make sure you are all familiar with this information.

Because our day is longer and we have more periods of study, sports can be taken during the last period of the day without impacting a student’s graduation credits. All students must be enrolled in a minimum of six classes.

We have carefully read this document. We understand and accept these conditions and consequences as a member of the SOTA / SAMi community.

STUDENT NAME ________________________________ STUDENT I.D. # __________ Student Signature Birthday Date

Parent Signature Date

Community Basics

www.tsami.orgwww.tsota.org

Student interest profile - Tacoma Public Schools...to include, please include photos of your work....

Documents

Transcript of Student interest profile - Tacoma Public Schools...to include, please include photos of your work....