Windham Early College Opportunity Application for Admission

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1 Windham Early College Opportunity Application for Admission Thank you for your interest in the Windham Early College Opportunity program at Windham High School. You may hand-deliver or mail the completed application form to: Windham Public Schools Assistant Superintendent s Office, Room 222, 322 Prospect Street, Willimantic, CT (office is on the 2nd floor of the Kramer Bldg.) If more applications are received than seats available, a student lottery will be held no later than March 31, If your address or phone number(s) change at any time after you submit your application, please notify the Assistant Superintendent at (860) Student information Last Name First Name Middle Name Female Male ID: Birth Date Gender Student ID Number (if known) Mailing Address City State Zip Current School Parent/Guardian Information (1) Last Name First Name Home or Cell Phone Work Phone address Parent/Guardian Information (2) Last Name First Name Home or Cell Phone Work Phone address There will be a 4-week Summer Academy for students admitted to Windham-ECO. The Summer Academy will focus on familiarizing students with the manufacturing industry, networking with classmates, and preparing for rigorous program coursework. Please confirm your participation in the Summer Academy: Attend the Summer Academy in July 2017? Yes No Student Signature Parent/Guardian Signature(s) Date: Date:

2 Solicitud de Admisión para Windham Early College Opportunity Gracias por su interés en el Programa Windham Early College Opportunity de la Escuela Secundaria de Windham. Favor de entregar completamente la solicitud de admisión, sea personalmente o por correo a: Windham Public Schools, Oficina de Asistente del Superintendente, Cuarto 222, 322 Prospect Street, Willimantic, CT (la oficina se encuentra en el Segundo piso del edificio de la Kramer). Si se reciben más solicitudes de los asientos que tenemos disponibles, se llevará a cabo una lotería entre los solicitantes a más tardar el 31 de marzo del Si durante ese periodo, usted cambia de dirección o de número de teléfono, favor de llamar y notificar el cambio a la Oficina del Asistente Superintendente al (860) Información del estudiante Apellido Primer Nombre Segundo Nombre (M) /(D) / (A) Femenino Masculino ID# Fecha de Nacimiento Genero # de ID del estudiante (si lo sabe) Dirección Código Postal Escuela Actual Información del Padre/Encargado (1) Apellido Primer Nombre # de teléfono/celular # de teléfono del trabajo correo electrónico Información del Padre/Encargado (2) Apellido Primer Nombre # de teléfono/celular # de teléfono del trabajo correo electrónico A los estudiantes admitidos en Windham-ECO les recomendamos encarecidamente a participar en una academia de verano de 4 semanas para familiarizarse con la industria manufacturera, compartir con compañeros de clase, y prepararse para cursos rigurosos del programa. Estás dispuesto a: Comenzar el curso de verano en julio del 2017? ( ) Si ( ) No Con su firma, ustedes están indicando que han leído y está de acuerdo con la declaración anterior. Firma del estudiante Fecha: Firma(s) del Padre/Encargado Fecha:

3 Windham Early College Opportunity Application For Admission Essay (500 words): Please answer the following questions below (Please use a separate piece of paper if necessary): Why do you want to join ECO? What can you bring to the program? What do you hope to get out of the program?

4 Solicitud de Admisión para Windham Early College Opportunity Composición (500 palabras): Por favor responda a las siguientes preguntas (Por favor utilice una hoja de papel si es necesario): Por qué quieres participar en ECO? Qué le puede ofrecer a el programa? Qué espera conseguir del programa?

5 Windham Early College Opportunity Application For Admission Applicant Name: Parent(s)/Guardian(s) Name: As part of the application process, the ECO team will be holding individual parent and student conferences. Individual student and parent conferences will be scheduled on May 2nd through May 12th. During the conferences the following will be reviewed: Overview of the ECO Program Academic Support College Courses (QVCC) Workplace Learning Expectations Program Mentors Parent feedback on students strengths and areas of growth Parents and students have the option of participating in the conferences in person or via a conference call. Please check how you would like to participate in the conferences: In-Person Conference (Highly Recommended) By Phone Conference Best Phone number for you to be reached: Do you need an interpreter? Yes No

6 Solicitud de Admisión para Windham Early College Opportunity Nombre del Aplicante: Información del Padre/Encargado: Como parte del proceso de solicitud de admisión, el equipo de ECO tendrá conferencias individuales para padres y estudiantes. Estas conferencias serán programadas para el 2 de mayo hasta el 12 de mayo. Durante las conferencias repasaran lo siguiente: La visión de conjunto del programa de ECO Apoyo Académico Clases Universitarias Expectativas de Aprendizaje en el Lugar de Trabajo Mentores del Programa Comentarios de los padres sobre la Fortalezas y Debilidades de sus Estudiantes Padres y estudiantes tendrán la opción de participar en conferencias en persona o por teléfono. Por favor elige como quieres participar en las conferencias: Conferencia en Persona (Muy Recomendable) Conferencia por Teléfono El mejor número de teléfono para contactarlo: Necesita un Intérprete? Si No

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