Application for Darnell Cookman Science Bowl

Darnell-Cookman Middle/High School of the Medical Arts

2017-2018

Directions: Please print neatly. All parts unless otherwise stated are required. Do not be modest; faculty will consider all the information as part of the evaluation process. Completion of this form does NOT guarantee selection. Applications are due to Ms. Fiser in room 307 by August 31, 2017.

Administrative Information

Full Name______Student ID______

Home Address ______

E-mail______Phone Number ______

I understand that completing this form does not guarantee selection into the Darnell-Cookman Middle/High School of the Medical Arts Science Bowl Club or a position on any competing teams and that the information presented here is accurate. I also understand that if selected for the Science Bowl Club I must attend meetings and functions as required. I recognize that I will be required to uphold the standards and regulations set by the club and maintain a minimum GPA of 3.0 and violation may result in expulsion from the club

______

Student Name Student Signature Date

I understand and support my son/daughter’s application for membership to the Darnell-Cookman Middle/High School of the Medical Arts Science Bowl Club. I understand that the application does not guarantee selection, and can verify, to the best of my understanding, that the information on this form is accurate and complete in its presentation.

______

Parent Name Parent Signature Date

SCHOLARSHIP

List all Advance Placement, Accelerated, Math, and Science courses completed or in which you are currently enrolled, including the score attained on the AP exam for each course.

Grade / Math / Science / Grade average / AP score
8th
9th
10th
11th
12th

SPECIALTY

Rank the highest three of the following subjects in which you have the most interest. (One having the highest and three having the lowest).

______MATH ______PHYSICS ______SPACE ______EARTH

______CHEMISTRY ______BIOLOGY ______ENERGY

extra-curricular activities

List all current extra-curricular activities including those held in school, community or work activities.

Activity / Supervisor / Frequency

brag sheet (optional)

Briefly state why you believe you would be an asset to the Darnell Cookman Science Bowl Club and Team.

teacher recommendations

Give the recommendation forms to TWO teachers to complete. One of the teachers MUST be a science or math teacher (See the attached forms.)

DCHSSBT Teacher Recommendation

Student name______Teacher ______

Teachers: Thank you for filling out this recommendation to Darnell-Cookman SoMA Science Bowl Club for the above named student. To glorify our school in a competitive yet cooperative manner, in order to become a member, a student must not only excel in academics, but also in sportsmanship and character as well. We ask that you rank this student on these three areas. Please check the box that is most appropriate.

Outstanding
(4) / Good
(3) / Fair
(2) / Poor
(1) / Unable to Judge
Character
Takes criticism willingly and accepts recommendations graciously
Consistently exemplifies desirable qualities of behavior
Complies with school regulations concerning property and programs
Demonstrates the highest standards of honesty and reliability
Punctual and faithful both inside and outside of the classroom
Demonstrates honesty in all work
Sportsmanship
Is a team player willing to graciously work with others towards a common goal
Would not be overbearing or demanding of other members in a group
Can listen to and heed the directions of others
Can lead, motivate and guide others fairly when approved to do so
Regularly shows courtesy, concern, and respect for others
Academics
Is competent and inquisitive during class
Eager to learn and proactive in gaining new knowledge
Can appreciate academics challenges and is diligent in working through them

Required: Please write a brief statement on this student’s suitability for membership in the Science Bowl Club.

Thank you for your time!

Please return this confidential recommendation form to Ms. Fiser

DCHSSBT Teacher Recommendation

Student name______Teacher ______

Teachers: Thank you for filling out this recommendation to Darnell-Cookman SoMA Science Bowl Club for the above named student. To glorify our school in a competitive yet cooperative manner, in order to become a member, a student must not only excel in academics, but also in sportsmanship and character as well. We ask that you rank this student on these three areas. Please check the box that is most appropriate.

Outstanding
(4) / Good
(3) / Fair
(2) / Poor
(1) / Unable to Judge
Character
Takes criticism willingly and accepts recommendations graciously
Consistently exemplifies desirable qualities of behavior
Complies with school regulations concerning property and programs
Demonstrates the highest standards of honesty and reliability
Punctual and faithful both inside and outside of the classroom
Demonstrates honesty in all work
Sportsmanship
Is a team player willing to graciously work with others towards a common goal
Would not be overbearing or demanding of other members in a group
Can listen to and heed the directions of others
Can lead, motivate and guide others fairly when approved to do so
Regularly shows courtesy, concern, and respect for others
Academics
Is competent and inquisitive during class
Eager to learn and proactive in gaining new knowledge
Can appreciate academics challenges and is diligent in working through them

Required: Please write a brief statement on this student’s suitability for membership in the Science Bowl Club.

Thank you for your time!

Please return this confidential recommendation form to Ms. Fiser.

5