KEARNS HIGH SCHOOL – ACADEMY OF HEALTH & SPORT SCIENCES

ADMISSION S APPLICATION

Mission Statement: To educate students who will advance the practice of medicine and to inspire lifelong learning in the service of human health.

Please use only black or blue ink to complete this form.

Name

(Last) (First) (Middle)

Student ID# Date of Birth Phone

Parent/Guardian Names

Address Information:

Mailing

(Address) (City) (State) (Zip Code)

Additional Information:

Cell E-mail Address

Current School GPA CPA

Estimated Date of High School G raduation (mo./yr.)

Current S chool S tatus: ?freshman ?soph ?junior ?senior

Academic Plans:

Choose the appropriate pathway you would like to apply for:

?Pre-Medical/Exercise & Sport Sciences (Diagnostic and Therapeutic Services) – see career list

?Med-Tech (Health Information, Support Services, Biotechnology Research and Development) – see career list

Why do you want to be a part of the Academy of Health and Sport Sciences? (use the space provided for your answer)

I hereby certify the answers I have provided on this form are true. I agree to comply with all rules, regulations, and requirements of Kearns High School and to be on track for graduation. I also understand that my GPA and CPA need to be a 2.5 or higher to continue to participate in the Academy of Health and Sport Sciences.

Student Signature Date

Parent/Guardian Signature Date

Counselor Signature Date

KEARNS HIGH SCHOOL ACADEMY OF HEALTH & SPORT SCIENCES

* ADMISSIONS CHECKLIST *

? Complete all portions of the application process:

? Application completed

? “Turning Point” Essay

? 2 Letters of Recommendation (minimum, at least 1 from a teacher)

? Transcript

? Application Deadline:

? Send all application materials to:

Kearns High Sc hool

ATTN: Misty L. Morrow (room #128)

5525 S. Cougar Lane

Kearns , UT. 84118

For more information on Admissions go to:

Misty L. Morrow Room#128 or see your counselor

“ Turning Point ” Essay Question

Directions: Answer the following question in essay style, reflecting your best writing skills. Essays should be: double-spaced, one-page typed .

Every person goes through many diverse experiences in his or her life. Some of these challenges, whether positive or negative, change us forever. Describe an event you have experienced which has become a turning point in your life. In retrospect, how did this event change you?