SUMMER SCHOOL DATES: JULY 12 THROUGH AUGUST 11

PLEASE NOTE THAT SUBMITTING AN APPLICATION DOES NOT GUARANTEE A SEAT IN SUMMER SCHOOL. YOU WILL BE NOTIFIED TO ATTEND BY PHONE AFTER ALL APPLICATIONS HAVE BEEN CONSIDERED AND EVALUATED BASED ON ENROLLEMENT CRITERIA. PHONE CALLS WILL BE MADE BY JULY 6.

STUDENT INFORMATION

Full Name ______Student ID ______

Address (including zip code) ______

Home Phone ______Cell Phone ______

Grade Level during 2017-2018 School Year (circle one)9101112

Anticipated Year of Graduation (circle one)2018201920202021

Summer School Course Needed (circle one)

English IMath 1Earth ScienceWorld History

English IIMath 2BiologyCivics and Economics

English IIIMath 3Physical ScienceAmerican History I

English IVChemistryAmerican History II

Summer school is for credit recovery only. Students will receive a pass/fail grade at the end of the summer school term. Students needing courses for first-time credit (and/or a letter grade) should see their counselor for alternative options.

PARENT/GUARDIAN INFORMATION

Contact 1 ______Relationship ______

Daytime Phone ______Email Address ______

Contact 1 ______Relationship ______

Daytime Phone ______Email Address ______

PLEASE READ AND COMPLETE THE REMAINDER OF THE APPLICATION ON THE BACK OF THIS FORM.

TECHNOLOGY ACCEPTABLE USE POLICY (AUP)

As a student at Broughton High School, you have privileges to use WCPSS email and the World Wide Web, as well as access to networked resources at BHS. This technology is provided to further your educational goals and objectives. You are expected to abide by this policy as well as current WCPSS Board of Education policies and North Carolina and federal laws. If you violate this AUP, you will lose your computer privileges for a period of time based on the severity of the violation. If you violate Board policies, state or federal laws, you will face additional and more serious consequences in accordance with those policies and laws.

Losing computer privileges may negatively affect your grades and may cause you to fail a course. If you lose your privileges, you may not use any computer in Broughton High School, and you may not bring a personal laptop to school to use for the duration of the violation. Any AUP violation may result in additional disciplinary action in accordance with the WCPSS Code of Student Conduct and state and federal law.

Broughton High School and WCPSS make no guarantee that the functions or the services provided by or through the Broughton High School and WCPSS networks will be error-free or without defect. Broughton High School and WCPSS will not be responsible for any damage you as a user may suffer, including, but not limited to, loss of data or interruptions of service. Broughton High School and WCPSS are not responsible for the accuracy or quality of the information obtained through or stored on the system. Broughton High School and WCPSS will not be responsible for financial obligations arising through the unauthorized use of the system.

ELECTRONIC DEVICE POLICY

Except as permitted by this policy, no student shall use, display, transmit, or have in the on position on school property any wireless communication device or personal entertainment device, including but not limited to cell phones and electronic games until the conclusion of the school day. Wireless communication devices may be used by the students for instructional purposes with the permission and under the supervision of the teacher. Any device possessed or used in violation of this policy shall be confiscated and only returned to the students’ parents/guardians. Penalties for violations of this policy are set at the discretion of the principal.

I have read the AUP and Electronic Device Policy and understand:

  • technology at Broughton High School is to be used for learning, not entertainment
  • there are 3 levels of violations of the AUP and that successive violations because more serious
  • the academic consequences of violations of the AUP and electronic device policy are serious and will lead to dismissal from BHS Summer School and a failing grade in the course

Student Name ______

Signature ______Date ______

Parent/Guardian Name ______

Signature ______Date ______