Please Circle Your First Enrollment Choice

Please circle your first enrollment choice:

Parkland Early College
High School / Valle Verde Early College
High School / Ysleta High School Early College Academy

Please circle your second enrollment choice:

Parkland Early College
High School / Valle Verde Early College
High School / Ysleta High School Early College Academy

PART I: Student Information

Student’s Name: ______

Last First Middle

Student ID: ______Date of Birth: ______Gender:M F

Parent/Guardian’s Name: ______

Address: ______

Number and StreetCityStateZip Code

Primary Phone: ______Parent’s Daytime Phone Number: ______

Parent E-Mail: ______Student E-Mail: ______

Current School: ______School Phone: ______

Please check applicable educational experience:MotherFather

Completed high school______

Took classes at a community college______

Graduated from a junior or community college______

Attended a four-year university______

Received a Bachelor’s Degree______

Received a graduate degree______

Parent Signature: ______

Part II: Documentation

To Parent/Student:
Please indicate the ECHS campus of choice and have the middle school counselor complete and return this form to you. Completed application (pages 1-5) must be submitted to the ECHS campus of choice no later than December 15, 2017. Please submit all documents to the appropriate individual.
Parkland Early College
High School / Valle Verde Early College High School / Ysleta High Early College Academy
Attention: Ruben Alarcon / Attention: Julie Elicerio / Attention: Felipe Barraza
Include the following documentation with completed application.

Current attendance record
Current discipline record
Middle school STAAR scores
Current school report card

To Counselor:
The student named above is applying for admission to an early college high school. Please complete this form and return to student.

Check off all of the programs listed below that apply to this student. List additional information on the lines provided.

______At-Risk

______Bilingual/Dual Language

______Dyslexia

______Gifted and Talented

______LEP

______Special Education (if yes, list services received in the lined section below)

______Section 504 (if yes, list services received in the lined section below)

______Socioeconomically Disadvantaged

Additional information:

Counselor’s Name: ______Counselor’s Phone: ______

______

Counselor’s Signature Campus Date

Part III: Personal Inventory

Which characteristics best describe you? Check all that apply.

Shy ______

Creative ______

Friendly ______

Independent thinker ______

Misunderstood ______

Strong leadership skills ______

Good time management skills ______

Flexible/Team player ______

Loner ______

Readily accepts authority ______

Able to walk away from conflict ______

Are there any other characteristics that you would like to mention?

Part IV: Written Responses

Short Answer: What are your academic strengths and weaknesses? Response may be handwritten in ink or typed and must not exceed 200 words.

Part IV: Written Responses Continued

Please answer the essay questions on the lined pages of the application. Responses may be handwritten in ink or typed and must not exceed 500 words.

Essay Question:

An early college high school combines both high school and college courses. Why do you think you are ready to handle this type of educational experience and atmosphere? What benefits will you receive by attending anearly college high school?

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