2016-2017 Magnet School Application

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2016-2017 Magnet School Application
2016-2017
Magnet Application Period
REFER TO THE MAGNET CATALOG FOR ELIGIBILITY CRITERIA,
SELECTION GUIDELINES, AND APPLICATION PROCESS. Proof of
residence within St. James Parish must be provided when the
application is submitted.
**School cannot process incomplete applications.
-2010
December 14, 2015-January 29, 2016
PLEASE PRINT- Only ONE application per eligible applicant will be processed each academic year.
Applications MUST be HANDWRITTEN AND DELIVERED to GRAMERCY ELEMENTARY SCHOOL by January 29, 2016.
See the Magnet Catalog or www.stjames.k12.la.us for additional information.
SECTION I - STUDENT INFORMATION
Last ______________________ First ______________________Middle _____________
Birth Date _____/_____/_____
Home Address___________________________________
City__________________________________
Zip Code__________________________
Mailing Address _______________________________________________APT#_________
City __________________________________
Zip Code _________________________
Phone (H) _________________________ (Work/Cell)_____________________________
Email_____________________________________________________________________
Current Grade _____ Current School___________________Grade applying for____
If you are applying for more than one child in the Magnet School, please list the other applicant’s
name and grade applying for.
________________________________________________________________________
(See the definition of sibling in the Magnet Catalog)
If you have a child currently enrolled in the Gramercy Magnet, please provide:
Name_____________________________________________Current Grade ____________
(See the definition of sibling in the Magnet Catalog)
SECTION III - Parent or Guardian Information
SECTION II – DEMOGRAPHICS
Parents/Guardians: Your signature on this application grants the St. James Parish
School System authorization to verify the applicant’s place of residence.
Gender (Check One)
q
q
Male
Female
Ethnic Category (Check One)
q African American
q American Indian
q Asian/Pacific Islander
q Caucasian
q Hispanic
q
Other ______________________
Ethnic information may be used as a lottery diversity
factor.
My signature below indicates that I understand that only one magnet application
can be processed for my child(ren) for the 2016-2017 school year and submitting
more than one application will void the entire selection process.
Parent/Guardian’s Name (Print)
Parent/Guardian’s Signature
______________________________ Date _________
FOR SCHOOL USE ONLY The school must complete this section before the
application can be processed by Central Office.
GPA
________MAP Scores (ELA) ________(Math)__________Eligible ___________
Sibling ________Proximity/Attendance Zone_____ Address Verified ___________
Date Received
ORIGINAL - Magnet Office
_________________________________________
_______________ Magnet Lead Teacher/Designee_____________
COPY-Parent/Guardian