Harlingen Consolidated Independent School District Early College High School ECHS Application Part I: Section A: General Student Information & Parent/Guardian Information Section B: Student Essay Applicant’s Name: ____________________________________________________________________ Current Middle School / High School Campus Circle your current campus: Coakley Gutierrez Memorial Vela Vernon Harlingen High School Harlingen South High School Other: _____________________________________ NONDISCRIMINATION “Harlingen Consolidated Independent School District does not discriminate on the basis of race, color, national origin, age, religion, sex, disability, or any other legally protected status in employment or provision of services, programs, or activities.” "El distrito escolar de Harlingen no discrimina en base a raza, color, origen de nacionalidad, edad, religión, sexo, discapacidad, o cualquier otro estado legalmente protegido en el empleo o en la prestación de servicios, programas o actividades." Harlingen Consolidated Independent School District Early College High School Section A – General Student and Parent Information Responses must be either typed or printed clearly in black ink. This portion of the application is to be completed and submitted to your middle/high school counselor or other designated person. Please write legibly in all areas. Student’s name: ________________________________________________________________ Date of birth: __________________________________________________________________ School ID Number: ____________________ Gender (circle one) : Male Female Student’s e‐mail address: _________________________________________________________ Current Address:________________________________________________________________ City: __________________________________________ Zip Code: _______________________ Home Phone: __________________________________ Cell Phone:______________________ Parent/Guardian 1: _____________________________________________________________ E‐mail address:_________________________________ Cell Phone:______________________ Parent/Guardian 2: ______________________________________________________________ E‐mail address: _________________________________ Cell Phone:______________________ Who does student reside with:_______________Primary language spoken at home:_________ Place an “X” next to the highest level of education completed by parent/guardian: Parent/Guardian 1 Parent/Guardian 2 Elementary____ Middle School_____ Elementary_____Middle School _____ High School____ College Hours_____ High School____ College Hours ______ Associate’s_____ Bachelor’s _______ Associate’s_____ Bachelor’s_________ Guideliens Master’s_______ Doctoral ________ Master’s_______ Doctoral _________ Harlingen Consolidated Independent School District Early College High School Section B – Student Essay Read and answer question #1. Next read questions #2 and #3, and respond to only one of your choice. The essays must be your original product. Guidelines for completing the student essays: 1. Responses may be typed or neatly printed in black ink. 2. Responses must be at least one page in length. 3. Proofread and do your best to have well written responses. Question #1: Why are you a good student for ECHS? What do you know about ECHS? What do you know about the Pillars of Good Character and the Character Values and how do you exemplify (demonstrate) those values? ***************************************************************** Question #2: What is a challenge that you have had to face in your life and what did you do to overcome this challenge? What did you learn through this experience? How did this impact your life? What advice would you give to someone going through this same challenge? Question #3: What do you think it takes to be a successful student? How do you exemplify (demonstrate) your image of a successful student? Consider 4 characteristics that make a student successful. What are two strong characteristics you have and give examples. This is your opportunity to express yourself and demonstrate your writing skills. Harlingen Consolidated Independent School District Early College High School Essay Response: ___________________________________________________________________
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___________________________________________________________________ Harlingen Consolidated Independent School District Early College High School Part II (Note: Students are not responsible for this portion of the application. Middle/High School counselors assist with this portion. Submit to your school counselor. The entire packet is due complete, one week from the day you receive it.) Date received:_________________ Section C: Counselor Input Form Applicant’s Name: __________________________________________________ Current Middle/High School Campus: Circle your current campus: Coakley Gutierrez Memorial Vela Vernon Harlingen High School Harlingen South High School Other: _________________________ NONDISCRIMINATION “Harlingen Consolidated Independent School District does not discriminate on the basis of race, color, national origin, age, religion, sex, disability, or any other legally protected status in employment or provision of services, programs, or activities.” "El distrito escolar de Harlingen no discrimina en base a raza, color, origen de nacionalidad, edad, religión, sexo, discapacidad, o cualquier otro estado legalmente protegido en el empleo o en la prestación de servicios, programas o actividades." Harlingen Consolidated Independent School District Early College High School Applicant’s name: _________________________________________________________________________________ Section C – Counselor Input Form – Page 1: The student named above is applying for admission to the HCISD Early College High School at Texas State Technical College. Students who are enrolled in this program have the opportunity to complete a high school diploma as well as a two year Associate’s Degree, Academic Core and/or Career Certification within four years of entering the ninth grade. Your evaluation of this student will be extremely helpful in identifying which students will benefit from and succeed in this program. Middle School Applicant’s 7th Grade STAAR Information: Math Score/Rating: __________________ Reading Score/Rating __________________ Writing Score/Rating______________ Social Studies Score/Rating ___________________ Science Score/Rating ________________ High School Applicant’s 8th Grade STAAR Information: Math Score/Rating: __________________ Reading Score/Rating __________________ Writing Score/Rating______________ Social Studies Score/Rating ___________________ Science Score/Rating ________________ Attach a copy of all report cards students has received this year. REQUIRED: Provide a copy of the student’s academic record for elementary and middle school. If student is applying midyear, also include first quarter report card. Harlingen Consolidated Independent School District Early College High School Counselor’s Checklist for ECHS Applications: Counselor’s Name: __________________________________________________ Please use the checklist provided below to assure all parts of the application are completed. Once the student has the application completed, ECHS personnel will collect all applications from the campus. Middle/High School Counselor Verification ECHS Counselor Verification ________Section A ________Section A ________Section B ________Section B ________Section C ________Section C ________Section D ________Section D I have received and reviewed all portions of I have verified all portions of the the ECHS application and verify that it is application are complete and ready ready for review. for review. _____________________________________ _______________________________ Sending Counselor’s signature and date ECHS Counselor’s signature and date Harlingen Consolidated Independent School District Early College High School Part III (Student note: you are to submit this to your teacher’s to be completed and returned to your counselor.) ECHS Application: Section D: Teacher Recommendation Form to be completed by student’s core area teachers. Applicant’s name: _________________________________________________________ Current Middle/High School Campus: Circle your current campus: Coakley Gutierrez Memorial Vela Vernon Harlingen High School Harlingen South High School Other: __________________________ NONDISCRIMINATION “Harlingen Consolidated Independent School District does not discriminate on the basis of race, color, national origin, age, religion, sex, disability, or any other legally protected status in employment or provision of services, programs, or activities.” "El distrito escolar de Harlingen no discrimina en base a raza, color, origen de nacionalidad, edad, religión, sexo, discapacidad, o cualquier otro estado legalmente protegido en el empleo o en la prestación de servicios, programas o actividades." Harlingen Consolidated Independent School District Early College High School Applicant’s Name: _____________________________________________________________________________ Section D – Teacher Recommendations Current 8th grade applicant 8th grade Team Recommendation Circle the class level student is currently enrolled: Advanced Math Algebra Advanced Language Arts Pre‐AP Language Arts Advanced American History Pre‐AP American History Advanced Science Pre‐AP Science 8th grade team: Please keep in mind the rigor, dedication and self‐discipline needed to be a high school/college student. Academic Social _____Self Initiated and motivated _____Shows leadership capabilities _____Capable of performing at a higher level _____Interacts positively with peers/adults _____Shows potential, but does not seek academic challenges _____Needs frequent feedback & personal attention/encouragement _____other: __________________________________________ _____Other: _____________________________________________ Behavior Work _____Positive role model for other students _____Completes work on time and is motivated to learn _____Discipline problem; lacks self‐control _____Issues with work completion ******************************************************************************************************** Current High School Applicant You must have one of your CORE teachers complete this evaluation. Teacher: Please keep in mind the rigor, dedication and self‐discipline needed to be a high school/college student. Academic Social ______Self Initiated and motivated _____Shows leadership capabilities _____Capable of performing at a higher level _____Interacts positively with peers/adults _____Shows potential, but does not seek academic challenges _____Takes others’ feelings into consideration _____Has significant academic issues (ie. Focus, concentration) _____Needs frequent feedback & personal attention/encouragement _____other: __________________________________________ _____Other: _____________________________________________ Behavior Work _____Positive role model for other students _____Completes work on time and is motivated to learn _____Discipline problem; lacks self‐control _____Participates in classroom activities, but does not follow Teacher completing evaluation: ____________________________________________ Subject_________________________