STUDENTS ENTERING 8TH – 10TH GRADE IN THE FALL Career Discovery Academy options include:

Program Benefits Sessions Dates & Times

•Experience a college environment Session 1: June 19 – June 30 (2 weeks - $100)

•Learn about high-demand careers and majors Session 2: July 10 – July 21 (2 weeks - $100)

•Participate in exciting projects with real-world applications Session 3: July 24 – August 4 (2 weeks - $100)

•Enjoy a fun physical activity class Monday-Friday 8:30 AM – 3:00 PM

SESSION 0 June 12-16: 8:30am-4:30pm (9th-12 graders) - free College Ready Academy – June 12-16 from 8:30am-

3:40pm (Basic Skills 5 & 9 courses)

Youth Employment Academy – June 12-16 from8:30am-3:40pm (Voc Ed 96 course)

SESSION 2 July 10-21: 8:30am-3pm

(incoming 8th-10th graders) - $100 Computer Science & Info Technology Academy

(VocEd 281, 290 & 294 courses)

Healthcare Career Academy (VocEd 320 & 400 andBasic Skills 57 courses)

Law Enforcement/Public Safety (VocEd 33 & 50courses)

SESSION 1 June 19-30: 8:30am-3pm

(incoming 8th-10th graders) - $100 Math & English Boot Camp (Basic Skills 23 course)

Business & Entrepreneurship Academy (VocEd 415,416 & 420 courses)

Computer Science & Info Technology Academy(VocEd 281, 290 & 294 courses)

SESSION 3 July 24-Aug 4: : 8:30am-3pm

(incoming 8th-10th graders) - $100 Math & English Boot Camp for incoming 8th graders

(Basic Skills 23 course)

Math & English Boot Camp for incoming 9th graders(Basic Skills 23 course)

Math & English Boot Camp for incoming 10th

graders (Basic Skills 23 course)

Click and download Updated Registration Procedures at www.WLAC.edu/Free-College for more needed forms Email New-Students@wlac.edu or call 310-287-4546 for questions or assistance

West Los Angeles College is an ACCJC-Accredited Community College

MATH & ENGLISH BOOT CAMP

COMPUTER SCIENCE & VIDEO GAME DESIGN

HEALTHCARE

BUSINESS

Career Discovery Academies Summer 2017

LAW ENFORCEMENT

WEBPAGES, BLOGS & SOCIAL MEDIA

FIND REGISTRATION FORMS AT THE END OF THIS PDF

STUDENTS ENTERING 9TH – 12TH GRADE IN THE FALL Learn how to earn college credits for free while in high school!

Identify the college credit classes that will count for BOTH high school graduation AND a collegedegree and/or transfer

Strategize on which classes are right for you based on your college goals and career interests

Learn about the benefits, responsibilities and potential pitfalls of concurrent enrollment

Strengthen your academic research skills for college (beyond Google)

Boot camp will run Monday, June 12 – Friday, June 16 from 8:30AM – 3:45PM

SESSION 0 June 12-16: 8:30am-4:30pm (9th-12 graders) - free College Ready Academy – June 12-16 from 8:30am-

3:40pm (Basic Skills 5 & 9 courses)

Youth Employment Academy – June 12-16 from8:30am-3:40pm (Voc Ed 96 course)

SESSION 2 July 10-21: 8:30am-3pm

(incoming 8th-10th graders) - $100 Computer Science & Info Technology Academy

(VocEd 281, 290 & 294 courses)

Healthcare Career Academy (VocEd 320 & 400 andBasic Skills 57 courses)

Law Enforcement/Public Safety (VocEd 33 & 50courses)

SESSION 1 June 19-30: 8:30am-3pm

(incoming 8th-10th graders) - $100 Math & English Boot Camp (Basic Skills 23 course)

Business & Entrepreneurship Academy (VocEd 415,416 & 420 courses)

Computer Science & Info Technology Academy(VocEd 281, 290 & 294 courses)

SESSION 3 July 24-Aug 4: : 8:30am-3pm

(incoming 8th-10th graders) - $100 Math & English Boot Camp for incoming 8th graders

(Basic Skills 23 course)

Math & English Boot Camp for incoming 9th graders(Basic Skills 23 course)

Math & English Boot Camp for incoming 10th

graders (Basic Skills 23 course)

Click and download Updated Registration Procedures at www.WLAC.edu/Free-College for more needed forms Email New-Students@wlac.edu or call 310-287-4546 for questions or assistance

West Los Angeles College is an ACCJC-Accredited Community College 9000 Overland Ave. Culver City, CA 90230

FREE EARLY COLLEGE BOOT CAMP for High School Students

Summer 2017: June 12 – 16 (1 week)

FIND REGISTRATION FORMS AT THE END OF THIS PDF

REGISTRATON PROCEDURES FOR WLAC’S 2017 CAREER DISCOVERY ACADEMY (revised June 6)

Since all of our scheduled orientations have concluded, these are the procedures to get your student enrolled in our Career Discovery Academy 1) Download Updated Registration Procedures for CDA 2017 from www.wlac.edu/Free-College 2) Student completes a WLAC application

Complete a paper application if the student is UNDER age 14 as of 6/12/17 (attached)

Complete an online application if student is 14 or older as of 6/12/17 through our webpage at www.wlac.edu (click APPLY) on the top right hand corner of the webpage or click on the link below: https://www.opencccapply.net/uPortal/render.userLayoutRootNode.uP;jsessionid=DC644C9C0C3A5B782385E06F63EAE33B

3) Complete a Supplemental K-12 form (attached) and have it signed by the student, a parent and an official from student’s current school. You must list the ALL the courses your student is interested in enrolling. They might not get their first choice, so please write down all courses they are interested in.

June 12-16: 8:30am-4:30pm (9th-12 graders) - free College Ready Academy – June 12-16 from 8:30am-

3:40pm (Basic Skills 5 & 9 courses)

June 19-30: 8:30am-3pm (incoming 8th-10th graders) - $100

Math & English Boot Camp (Basic Skills 23 course)

Computer Science & Info Technology Academy (VocEd 281, 290 & 294 courses)

July 10-21: 8:30am-3pm (incoming 8th-10th graders) - $100

Computer Science & Info Technology Academy (VocEd 281, 290 & 294 courses)

Healthcare Career Academy (VocEd 320 & 400 and Basic Skills 57 courses)

July 24-Aug 4: : 8:30am-3pm (incoming 8th-11th graders) - $100

Math & English Boot Camp for incoming 8th–9th graders (Basic Skills 23 course)

Math & English Boot Camp for incoming 10th-11th graders (Basic Skills 23 course)

4) For students entering 8th grade in the fall AND those under age 14 as of June 12, you MUST submit the paper college application and the completed K-12 form to SC-107. If the office is closed, please leave in Mailbox #259B, bungalow B-1 (next to Parking lot A)

5) For students entering 9th grade or higher in the fall and those 14 and older as of June 12, you must submit your completed K-12 form to Admissions in SSB Building where they will process it and give your student a WLAC student ID# (make a copy BEFORE submitting it)

(Admissions hours: Mon & Thur: 8:30am-5:00pm; Tues & Wed: 8:30am-7pm; Fri: 8:30am-1pm)

6) Email the completed 2017 CDA Student Application Checklist packet, copy of completed K-12 form, student’s name and their WLAC Student ID# with the academy sessions they want and we will respond regarding their acceptance

7) Upon acceptance into the desired academies, pay for the applicable sessions at Westside Extension (in-person in their bungalow located in the back of Parking lot 5 or online or online by purchasing an e-giftcard from Westside Extension at https://westlac.augusoft.net/index.cfm (upper right corner)). Make sure to put your child’s name as the recipient and westside@wlac.edu in “Send email to” and email your receipt to new-students@wlac.edu

LOS ANGELES COMMUNITY COLLEGE DISTRICT SUPPLEMENTAL APPLICATION FOR ADMISSION OF STUDENTS IN GRADES K-12

ADMISSION: Colleges in the Los Angeles Community College District (“LACCD”) may admit as a special part-time or full-time student anyone who is a student in grades K-12 who has met the LACCD’s admissions requirements and who, in the opinion of the College President (or designee), may benefit from instruction. (Education Code sections 48800, 48800.5, 76001; LACCD Board Rules 8100.06, 8100.07, 8100.08; LACCD Administrative Regulation E-87.)

FEES: Enrollment fees are required for special full-time students (i.e., taking more than 11 units), but waived for special part-time students (i.e., taking 11 units or less). (Education Code section 76300(f), LACCD Board Rule 8100.03.) Special part-time students are exempt from the nonresident tuition fee (Education Code section 76140(a) (4), LACCD Board Rule 8100.03.) The LACCD also charges a health fee (certain categories of students are exempt) and, where applicable, a student representation fee.

CONDITIONS: The student is expected to follow regulations and procedures that apply to all college students. The student shall receive college credit for the community college courses that the student completes. Arrangements for receiving high school credit for completed course work must be made with the student’s high school. The student may only enroll in those courses listed on this form. This enrollment approval form must be presented when the student initially files an application for admission to the college, and a separate approval must be provided for each semester or term in which the student wishes to enroll. The LACCD and its colleges assume no responsibility for the supervision of minor students (i.e., students under 18 years of age) outside the classroom setting. Parents are responsible for ensuring that their children are appropriately supervised before class begins, after class finishes, or when a class is cancelled and/or dismissed early.

K-12 STUDENT INFORMATION

Student Name: Birth Date: / /

Last First MI Mo Day Year

Student Address:

Street City State ZIP

Phone No.: E-mail address: _ Student I.D. No.:

Student Grade:

FOR STUDENT: I authorize the release of my transcript information to my school upon the school’s written request.

_ Signature of Student Date

FOR PARENT/GUARDIAN: I authorize my son/daughter to enroll in a college level course in the LACCD. I understand that my child will not be afforded any special status or supervision as a result of his/her minor status while enrolled in the Los Angeles Community College District; I also understand that I will not have access to my child’s student records (including grades and transcripts) without his/her written consent, his/her minor status notwithstanding.

Print Name of Parent/Guardian Signature of Parent/Guardian: Date

COLLEGE ENROLLMENT INFORMATION (to be completed by the K-12 school official)

Term: Fall Semester Winter Intersession Spring Semester Summer Session Year:

College: West Los Angeles College Enrollment Status: Part-time (11 units or less) Full Time (more than 11 units)

1. 2. 3.

College Course Subject/Number College Course Subject/Number College Course Subject/Number

4. 5. 6.

College Course Subject/Number College Course Subject/Number College Course Subject/Number

I have met and counseled the student and recommend the courses listed above to be taken for credit (for K-8 students, please enclose the student’s transcripts

and letter describing how, in your opinion, the student will be able to profit from instruction at a community college). If this is a summer enrollment, I certify that

there are no equivalent courses available at this school and that the total number of students referred from this school to community colleges does not exceed

5% of this year’s graduating class.

Print Name of Official Signature of Official (original required) Date

FOR LAUSD STUDENTS: LAUSD Student I.D. No. School Location Code

COLLEGE APPROVAL (to be completed by the College’s Chief Instructional Officer (or designee)

Approved to Attend Not Approved to Attend

Signature Date

Reason(s) for Refusal:

Form YS-1 Effective 8/31/2015

Staff Initials: ________

2017 CDA STUDENT APPLICATION CHECKLIST

Date Completed: ________________

Student Name: _______________________________________________

Parent/Guardian Name: ________________________________________

++++++++++++++++++ TO BE COMPLETED BY STAFF ONLY+++++++++++++++++

Completed online or paper STUDENT application for SPRING 2017

Student ID# ________________________

Completed Student SUMMER 2017 K-12 form (with courses listed)

Completed Student Info Sheet

Completed Participation Contract

Completed Emergency & Release form

Payment made for Sessions 1-3: ONLINE CHECK Not Applicable

CDA_Student_Info_Sheet-Sum17-final

2017 Career Discovery Academy Student Info Sheet Please print clearly in black or blue ink. WLAC Student ID if available: 88 __________________ Date Submitted: ____________ Name: _______________________________________________________________________________ Last First Middle Address: _____________________________________________________________________________ No. & Street City State Zip Phone #: ( ) Cell Phone #: ( _____) _______________ Email: _____________________________________ Date of Birth ___ / /____ Students will only be notified of their status by email. Please print clearly MM/DD/YY Gender: Male Female Age as of 2/6/17: _____________ School(s) Student Attended/Will Attend

School Year School City, State Grade

2016-17

2017-18

Did you attend our program in Summer 2016? No Yes Parent/Guardian Names: ____________________________________________________________ Email Address: __________________________________________ Cell phone # ______________________ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Please rank your academy of choice 1-3 within the same session (in case you don’t get your first choice)

Session 0 Youth Employment College Ready

Session 1 Math & English Business CSIT

Session 2 CSIT Healthcare Law Enforcement

Session 3 Academic Boot Camp

Westside Extension Payment Session 1 - $100 Session 2-$100 Session 3-$100 Total: ______________ Payment made: Check (check#) ____________ Name on Check ______________________________ Online Payment Date: ___________ Name of Payee ______________________________

CAREER DISCOVERY ACADEMY PARTICIPATION CONTRACT

Student Name (print): ___________________________________ Student Birthdate: _______________ Parent Section: I understand that my child’s participation in the Career Discovery Academy will help them reach their educational and career goals. If accepted:

1. I authorize permission for my son/daughter to attend and participate in the Career Discovery Academy Summer Program. 2. I authorize permission for the Career Discovery Academy program to submit school documents to West Los Angeles College

that are relative and consistent with my child’s education. Such documents may include the West Los Angeles College Application, Supplemental Application for Admission of a Student in Grades K-12, official transcript requests, and any other information used to facilitate academic, career, or college progress.

3. I authorize permission for the Career Discovery Academy to use photographs of my child for publications such as newsletters, brochures, or the West LA College website.

4. I will notify the Career Discovery Academy if my child withdraws from a program class or session. 5. I understand that if my child does not fulfill the responsibilities as a participant, the Career Discovery Academy staff may ask to

remove my child from further classes or session(s). 6. I authorize permission for my child to engage with a college campus, from classroom to common area. I understand that West

Los Angeles College does not assume liability. 7. I authorize the Career Discovery Academy program to obtain medical services should an event require such attention or in the

event of an emergency. I will not in any way hold West Los Angeles College responsible for any treatment deemed necessary for medical services.

8. I understand that I am required to cancel AT LEAST TWO WEEKS before my registered Academy begins in order to receive a refund, credit, or transfer. Academy refunds, credits, and transfers are subject to a $25 processing fee.

Student Section: I agree that if I am accepted into the Career Discovery Academy, I will:

1. Strive to improve my grades through good attendance, homework completion, and other requirements. 2. Be prepared for each class and session, and have completed all class work assigned to me by instructors. 3. Follow instructions and complete documentation required for participation. 4. Carry myself in a respectful and courteous manner. I will cooperate will all faculty, staff, and other students in the program.

Disruptive behavior and violation of the rules will not be tolerated. 5. Not use drugs, alcohol, tobacco or vape products. Violation of the rules will result in immediate intervention and/or possible

expulsion from Career Discovery Academy session(s). 6. Agree that to participate in the Career Discovery Academy, I must give as much to the program as I receive. My participation

must be active and productive. 7. Not eat or drink anything (except water) during class. I will use scheduled break times to eat and drink. 8. Be on time for every class session. I will take care of my personal business before class and during scheduled breaks. 9. Follow the procedures set up by parents to arrive on time and depart WLAC after class ends. 10. NOT use any non-school issued electronic devices (MP3 players, iPods, radios, pagers, cell phones, sidekicks, PDAs, etc.)

during class. My electronic devices will be kept out of sight and turned to silent mode during class. 11. NOT fight or engage in inappropriate behavior that negatively affects others or myself. Fighting will result in the immediate

removal by the Sheriffs. 12. NOT engage in any property damage (such as vandalism or graffiti) will be cause for dismissal from the program. Student

/Parent/Legal guardian will be financially liable for property damaged.

Your signatures below certifies that ALL of the statements made on this application packet and all eligibility documentation for the West Los Angeles College Career Discovery Academy program are true and correct. The statements made on this application packet are true and correct, and we agree to the terms indicated on the following sections: Student Signature:____________________________________________________ Date:______________ Parent/Guardian Signature:_____________________________________________ Date:______________

2017-Emergency-Release

2017 CAREER DISCOVERY ACADEMY

MINORS’ POLICIES, RELEASE, AND EMERGENCY INFORMATION FORM

CHILD’S NAME: BIRTHDATE:

I do hereby give permission for my child (listed above) to participate in the WLAC Career Discovery

Academy. I understand the risk involved in respect to such program and will assume responsibility and

waive all rights to any liability claim against WLAC Career Discovery Academy or its agents for injuries

incurred in connection with said program. I further certify that my child is in good health and may

participate in said program.

As stated in Title V section 55450, I agree that West Los Angeles College and the Los Angeles

Community College District, its Board of Trustees, officers, representatives, employees, and agents shall

be held harmless from any and all liability, claims, causes of action, and demands arising out of or in

connection with my child’s participation in the program.

In the event of illness or injury, staff will attempt to contact me at the numbers I provided. Should my

child need immediate medical attention, I authorize staff to take any and all steps they deem appropriate

for my child’s care; I understand I am responsible for all expenses incurred in such an event.

There is no credit or making up of missed days. Inability to conform to the structure of the

program/disruptive behavior on the part of the student or guardian is grounds for expulsion/exclusion

without refund.

PARENT/GUARDIAN # 1 Name: ________________________________________________________________

Primary Phone # _____________________ Secondary phone# ________________

PARENT/GUARDIAN # 2 Name: ________________________________________________________________

Primary Phone # _____________________ Secondary phone# ________________

ADDITIONAL EMERGENCY CONTACTS:

Name: __________________________ Relationship: ________________________ Phone # _______________

Name: __________________________ Relationship: ________________________ Phone # _______________

Any medical conditions/special needs child has:

____________________________________________________________________________________________

____________________________________________________________________________________________