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El Rancho Unified School District
STEAM ACADEMY @ Burke
STUDENT APPLICATION (Page 1 of 2)
Student Name: Current School: ____________________________
Student’s Current Grade (2016-17): ☐ 5 ☐ 6 ☐ 7
Parent Name(s): Email Address: _____________________________
Mailing Address: City: Zip: ______________
Home Phone #: Cell/Work Phone #:_____________________________________
Siblings/Grades: ____________________________________________________________________________
Areas of Interest: ☐ Art ☐ Engineering ☐ Technology ☐ Music ☐ Foreign Language
Please be sure the following documents are attached: ☐ Most recent report card.
☐Most recent CAASPP scores.Teacher recommendation form must be sent directly from the teacher to the STEAM Academy. Recommendation forms can be sent via email to [email protected], via mail to the school address, or faxed to (562) 801-5067.
RETURN APPLICATION TO:
STEAM Acade my @ Burke
8101 Orange Ave., Pico Rivera, CA 90660
or send via email to [email protected]
Signature of Student I understand that the STEAM Academy offers a rig orous academic program. I realize that my participation in the STEAM Academy will
give me a brighter future by providing me with a foundation and
proven path to high school, college and career success. If admitted, I am prepared to make this commitment and will give my all while
participating in this program.
X
Signature of Parent/Guardian I unde rstand that the S TEAM Acade my and its elec tive progr amm ing is
taught in conjunction with a rigorous academic curriculum further supporte d by my chil d’s c onsistent attenda nce a nd work ethic. If my child is admitted, I comm it to su pport m y student full y in this pro gram.
X
Date
X_________________________
Date
X_________________________
Application must be
received no later than
Friday, March 31, 2017.
El Rancho Unified School District
STEAM ACADEMY @ Burke
STUDENT APPLICATION (Page 2 of 2)
Numbers 1 & 2 of this section MUST be completed entirely by the student.
Candid student responses will allow the admissions committee to better understand each student.
For this reason it is very important for the student to compose these answers. If more space is needed,
feel free to attach another page.
1. Compose a paragraph that explains your reasons for applying to the STEAM Academy and how this program
will help you achieve your goals for the future.
2. Compose a paragraph explaining why you think it is important to collaborate with your peers in class, on
assignments, projects, etc. Include what you do to ensure that your peers see you as a valuable contributor
in your groups.
3. At the STEAM Academy, we believe how you spend your time outside of school is just as important as
time spent in school. Give us some examples of how you spend your time outside of school (interests,
hobbies, etc.). Include strategies you use to manage your time wisely and to balance these activities while
still focusing on your academics.
PARENT RECOMMENDATION: To be completed by the parent/guardian of the applicant.
4. As a parent, what do you hope your child will get out of the STEAM Academy? What will you do to
contribute to your child’s success at our school?
STEAM ACADEMY @ BURKE TEACHER RECOMMENDATION FORM
This form must be received in the STEAM Academy office no later than March 31, 2017.Please complete this form and MAIL it to: You may also E-MAIL this form to:
STEAM Academy @ Burke [email protected]
8101 Orange Ave., Pico Rivera, CA 90660 Subject: STEAM Recommendation
Applicant’s Name: __________________________________________________________________
Please consider how the student compares to ALL other student in current grade level.
No basis
for
judgment
Below
Average
Average
(Top 50%
in District)
Good
(Top 25%
in District)
Excellent
(Top 10% in
District)
Outstanding
(Top 5%
in District)
Mathematics Ability 0 1 2 3 4 5
Science Ability 0 1 2 3 4 5
Writing Ability 0 1 2 3 4 5
Reading Comprehension 0 1 2 3 4 5
Critical Thinking Skills 0 1 2 3 4 5
Academic Motivation: initiative, pride in
work, willingness to go above and beyond 0 1 2 3 4 5
Teamwork Ability 0 1 2 3 4 5
Organization and Work Habits 0 1 2 3 4 5
Citizenship/Behavior/Attendance 0 1 2 3 4 5
Academic Vision:
Do you recommend this student for the Magnet Program?
Yes No With reservations (*explain below, if any.)
Please explain your recommendation, as well as any rankings below Excellent, as to why acceptance to the
academy would be beneficial to the student.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Teacher’s Name: ________________________________________ School: ____________________________________
Subject/grade you taught this student: _____________________________________ School year: __________________
Signature: _____________________________________________________________ Date: ______________________
In order for this application to be considered, this form MUST BE MAILED, FAXED, or E-MAILED directly to the school by the deadline.
For questions regarding this application, contact the STEAM Academy at (562) 801-5059 or [email protected]. A PDF form of this recommendation may be downloaded at steam.erusd.org.
You may also fax to:(562) 801-5067