1. Healthcare

BISD SPACE Academ y
S TEM P rogram s for A erospace & C areers in E ngineering
Application 2015-2016
Bertha Peña
Assistant Superintendent for
Curriculum
Dr. Carl A. Montoya
Superintendent of Schools
Name:
Last
First
BISD ID#:
Current Grade:
Home Address:
City/Zip Code:
Middle
Parent/Guardian:
Contact numbers:
Home telephone
Current Middle School:
Cell Number
Work Number
Zoned High School:
Participated in BISD MS STEM Program
_____Yes/_____No
STUDENT AND PARENT COMMITMENT:
We agree that my son/daughter will comply with the following expectations for the duration of
his/her enrollment in the SPACE Academy at their zoned High School.
He/she will:
• adhere to maintaining a demeanor and appearance that is proper and professional due to
the high standards of working with professionals in the fields of Engineering and Aerospace
Engineering,
• abide by the BISD Student/Parent Code of Conduct,
• abide by the compulsory attendance policy and be punctual to all classes, and
• must pass all sections of the state mandated tests (EOC).
SPACE Academy courses are Pre-Advanced Placement (Pre-AP), Advanced Placement (AP), or
College Credit (DE) and will require that the student maintain an exemplary academic status
every grading period. Students must pass all Academy courses to remain active in the program.
Student Signature
Date
/
Parent/Guardian Signature
Date
For more information, contact Roman Gomez at 956-698-1654 or your zoned High School
Career Placement Officer (CPO).
DEADLINE: February 20, 2015 to be submitted to the student’s current 8th grade counselor.
OUT OF DISTRICT: BISD C&I Department, 1900 E. Price Rd., Suite 202, Brownsville, TX 78521
BISD does not discriminate on the basis of race, color, national origin, sex, religion, age, disability or genetic information in
employment or provision of services, programs or activities. BISD no discrimina a base de raza, color, origen nacional, sexo, religión,
edad, discapacidad o información genética en el empleo o en la provisión de servicios, programas o actividades
BISD SPACE Academ y
S TEM P rogram s for A erospace & C areers in E ngineering
Application 2015-2016
Bertha Peña
Assistant Superintendent for
Curriculum
Dr. Carl A. Montoya
Superintendent of Schools
P rincipal/ Teacher/ Counselor
SP ACE Academy RECOMMENDATION FORM
Applicant’s Name: ___________________________________has applied to participate in the
SPACE Academy at their zoned high school. Please consider the following personal attributes
and indicate to what extent each characterizes the applicant.
As an Individual and a Student, the applicant displays these characteristics:
Always Mostly
Never Comments
Positive attitude toward others
Responsibility
Leadership
Initiative
Participates in class
Is able to adapt
Completes assigned work
As an Individual and a Student, the applicant displays the following attributes:
Always Mostly Never
Comments
Diligent productive activity
Positive motivation
Achievement relative to ability
Appropriate maturity
Integrity
Creativity
Insight
Additional Comments:
_________________________________________________________________
_________________________________________________________________
In your opinion, how successful will this student be in this environment?
____________________________________________________________________________
____________________________________________________________________________
Position
|
Campus
|
Signature
|
Date
BISD does not discriminate on the basis of race, color, national origin, sex, religion, age, disability or genetic information in
employment or provision of services, programs or activities. BISD no discrimina a base de raza, color, origen nacional, sexo, religión,
edad, discapacidad o información genética en el empleo o en la provisión de servicios, programas o actividades
BISD SPACE Academ y
S TEM P rogram s for A erospace & C areers in E ngineering
Application 2015-2016
Dr. Carl A. Montoya
Superintendent of Schools
Bertha Peña
Assistant Superintendent for
Curriculum
SP ACE ACADEMY ESSAY: “Why I want to be in the SP ACE Academy”
BISD does not discriminate on the basis of race, color, national origin, sex, religion, age, disability or genetic information in
employment or provision of services, programs or activities. BISD no discrimina a base de raza, color, origen nacional, sexo, religión,
edad, discapacidad o información genética en el empleo o en la provisión de servicios, programas o actividades
BISD SPACE Academ y
S TEM P rogram s for A erospace & C areers in E ngineering
Application 2015-2016
Bertha Peña
Assistant Superintendent for
Curriculum
Dr. Carl A. Montoya
Superintendent of Schools
SP ACE Academy STUDENT-PARENT/GUARDIAN CONTRACT
ID#
Name:______________________
_______________
Directions: Students should initial next to each statem ent and sign below :
____ I agree to meet the standards listed below for the duration of my enrollment in the STEM
Program for Aerospace and Careers in Engineering (SPACE) Academy.
____ I will adhere to maintaining a demeanor and appearance that is of a professional
standard on and off campus due to the nature of working with professionals in the respective
fields of study.
____ I will abide by all of the program requirements of the STEM Program for Aerospace and
Careers in Engineering (SPACE) Academy.
____ I understand that failure to meet any of the program requirements or other criteria
deemed necessary for my and/or the program’s success is grounds for review and possible
dismissal.
These standards include but are not restricted to the following:
• I will demonstrate mature behavior as it pertains to a professional setting.
• I will attend classes on time and not have excessive absences or tardies.
• I will follow all rules listed in the BISD Student/Parent Code of Conduct Handbook.
• I will pass all state-mandated assessments required for promotion.
• I will achieve and maintain an exemplary academic status each marking period.
• I will be committed to attend summer SPACE Academy Summer Program.
• I will meet all prerequisites as required for the Pre-AP/AP/Dual program.
Students who are not in compliance with the Academy standards will be referred to the SPACE
Academy administrator. The student may be allowed to continue in the Academy with provisions or
dismissed as determined by the SPACE Academy administrator.
The Parent/guardian assures that they will support their student’s participation in
this Career and Technical Education Academy and understand the above
information.
Student Signature
Date
/
Parent/Guardian Signature
Date
BISD does not discriminate on the basis of race, color, national origin, sex, religion, age, disability or genetic information in
employment or provision of services, programs or activities. BISD no discrimina a base de raza, color, origen nacional, sexo, religión,
edad, discapacidad o información genética en el empleo o en la provisión de servicios, programas o actividades
BISD SPACE Academ y
S TEM P rogram s for A erospace & C areers in E ngineering
Application 2015-2016
Bertha Peña
Assistant Superintendent for
Curriculum
Dr. Carl A. Montoya
Superintendent of Schools
APPLICATION CHECKLIST
To be completed by the student and parent/guardian:
All information on application form, signed by Student and Parent/Guardian
One page HAND WRITTEN essay about why the student wants to participate in the
zoned High School SPACE Academy
Principal/Teacher/Counselor Recommendation Form
Parent/Student SPACE Academy Contract signed by Parent/Guardian and Student
Note: all above documents must be submitted together along with the information
below at time of application
To be completed by the campus counselor and submitted with above documents:
Student’s transcript including:
7th grade final report card
7th grade STAAR assessment results and any other standardized test scores
8th grade latest report card
Note: all documents must be submitted at time of application
The entire application package must be delivered by February 20, 2015 to:
BISD Students:
Current 8th Grade Counselor
Out of district:
BI SD Curriculum Departm ent
Attn.: R om an Gom ez
1900 E. P rice R d, Suite 202
Brow nsville, Texas 78521
BISD does not discriminate on the basis of race, color, national origin, sex, religion, age, disability or genetic information in
employment or provision of services, programs or activities. BISD no discrimina a base de raza, color, origen nacional, sexo, religión,
edad, discapacidad o información genética en el empleo o en la provisión de servicios, programas o actividades