PARKWAYSCHOOL DISTRICT
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Summer School 2013
Greetings!
An opportunity to participate in the Parkway Summer College Admissions Program at MaryvilleUniversity awaits you! This program, which is offered June 3rd-21stfrom 8:00 am -12:00pm or July 8th-19thfrom 8 am -2:30 pm, is an opportunity to prepare yourself for the college application process, including choosing the best school for you and earning a strong ACT or SAT score. In addition, you will earn ½ elective credit. Specifically, the program is designed to help students:
- identify and apply to the colleges that will meet individual expectations and demands
- prepare for the ACT and SAT exams to increase college admission opportunities
- prepare for the demands of college classrooms and potential careers
- earn scholarships and understand other financial aid opportunities
Our first goal is to offer you the tools necessary to earn acceptance into the college or university that you wish to attend. We will strive to show you which university is the best for you. You will compile a list of schools, with our instructors helping you decide the best plan to earn admission into these schools. We will help you determine how to best answer application questions and provide any assistance you may need when writing the essays for these applications. We will also show you how to secure scholarships and financial aid to these schools, opportunities you may not have even considered.
A second goal we have is to improve your ACT and SAT test-taking abilities. Every point you earn to raise your scoremayresult in easy scholarship money, and possibly admission to more selective universities. We will work on test-taking strategies that will earn you the score that best reflects your brilliance!
Each experience will be devoted to these goals. Time will be spent creating a portfolio that will allow you to take your new knowledge home to use when your time to formally apply to colleges arrives. The program will also feature many entertaining guest speakers, with 2 days spent traveling to other universities in the St. Louis area.
This program is absolutely free to youand transportation is available to MaryvilleUniversity for all students! To apply, please complete the attached application and health form for the university program of your choice. Please be sure to indicate your preference of the June or July session. You may return applications to your teacher, counselor, or principal and they will forward them for registration. Please submit your application by Wed., May 29th to Mike Hazelton, ParkwayNorthHigh School, 12860 Fee Fee Rd., St. Louis, MO63146.
Please feel free to call or email with any questions you may have prior to submitting your application. We look forward to meeting you and promise to make this June or July an opportunity you will appreciate, for both the knowledge you receive and for the fun you will have in the process.
Sincerely,
Shannon HendersonMike Hazelton
Parkway School DistrictParkwaySchool District
June Program Coordinator & SupervisorJuly Program Coordinator & Supervisor
(314) 415-6253(314) 415-5617
Parkway Summer School Registration Application
• Return this completed form and the Student Health Form (page 5) to the Summer School site for which you are registering.
Photocopies of this form and the Health Form are acceptable for registration.
• REGISTRATION IS CONSIDERED INCOMPLETE WITHOUT THE STUDENT HEALTH FORM.
Summer School Site ______Student ID______
• The state reimburses the District based on students’ daily attendance.
• Registration for Parkway residents begins on Wednesday, April 3, 2013.
• Please complete one Registration Application and Student Health Information Form (please print).
• All fees must be included with registration or registration will be considered incomplete.
• A check for each registration should be made payable to ParkwaySchool District and attached to each application.
• Report cards are sent home for high school students and to the students’ home school.
Student’s Last Name Student’s First Name Date of Birth
Parent’s Name Street Address City/Zip
Parent’s Email Address
Home Phone Emergency (work) Phone Cell PhonePager
Emergency Contact Name/Phone Number
School Currently Attending Address (if not a ParkwaySchool)
Grade Enrolled for the 2012-13 School YearName/Grade of Siblings Attending Parkway Summer Programs
Ethnic Background (enter all that apply): ______Male ___ Female ___
A - Asian/Pacific IslanderB - Black W - White/Caucasian H - Hispanic
I - American Native
After school, my child will:ride the shuttle bus to ______(school)
attend campbe transported by carride the VST busattend YMCA Prime Time
attend YMCA Teen Camp PM
• My child may/may not be photographed or video taped for District publication activities.
• My child has/does not have special needs.
Please check the appropriate special needs (explain on a separate sheet and attach to application):
____receives special education services____needs other special considerations
____has a section 504 plan
•First Choice of Classes
Period Class Number Class Title Fee
1st
2nd
•Second Choice of Classes (to be used if FIRST CHOICES are filled; do not repeat classes listed as FIRST CHOICES.)
Period Class Number Class Title Fee
1st
2nd
SUMMER SCHOOL STUDENT HEALTH INFORMATION
Please complete this Summer School Student Health Information form.
Pupil’s Name: / ______/ M __ /F __
/ Date of Birth: _____/____/____Parent/Guardian: / ______/ HomeSchool: ______/ Grade ____
Address: / ______/ Phones:
Home (____)______ / Work (____) ______
City/Zip: / ______/ Cell (_____)______/ Pager (____) ______
Current Day Care Provider: ______/ Phone: (_____)______
Please provide health information to help us meet the needs of your child during summer school.
In the past year has your child experienced health problems, e.g. serious allergic reactions, asthma, ear or eye, cardiac, neurological, orthopedic, emotional or psychological problems or required surgery?
Health Problem / Date / Name of Care Provider (if still under care)Please add any special directions for the School Nurse regarding the above listed problems.
List all current prescription and over the counter medications presently taken by your child. All prescription medications that need to be given at school, must be in a current prescription labeled bottle and accompanied by a parent note.
Name of Medication: / Prescribed by: / Date begun: / Dosage/Frequency:Please state any other concerns you may have regarding your child, e.g. special health problems or behavior, equipment needs, medical treatment required, etc.
If you have questions, please call your current school nurse, or when summer school begins, your summer school office and ask for the nurse’s office.
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IN AN EMERGENCY, I HEREBY AUTHORIZE THE SCHOOL TO MAKE SUCH ARRANGEMENTS AS NECESSARY.
I ALSO AUTHORIZE THE HOSPITAL/PHYSICIAN/DENTIST TO PERFORM NECESSARY PROCEDURES.
I prefer my child to be taken to ______or a close-by hospital if necessary.
I UNDERSTAND THAT THE COST OF MEDICAL ATTENTION AND AMBULANCE ARE THE RESPONSIBILITY OF THE PARENT.
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(Parent/Guardian Signature) (Date)
My signature also indicates I have read and understand the information contained on page 2 of the 2012 Parkway Summer School brochure.
Parkway School District Form #209S (Rev 1/12/01)