Application for Hickory Career & Arts Magnet at College Park
2016-2017 School Year
http://hickorycam.hickoryschools.net/
Application must be completed in its entirety in order to be reviewed.
Applications due: March 15, 2016 by 5:00 PM
Please check the program to which you are applying: (Space is limited in the career classes. Students who
enroll and are accepted to the school in 9th grade are guaranteed a space in the career option selected. Career
courses for 10th and 11th grade students in 2016-2017 are subject to availability based upon enrollment.)
Programs available to 9th, 10th, and 11th Grade students in 2016-2017:
(Please mark 1st, 2nd, and 3rd choice in boxes below.)
Public Safety
Graphic Design & Advertising
Performing Arts: Acting
Photography
Name of Student: _____________________________________________ Date of Birth: __________________________
Age: _______ Sex _______
Hispanic
Race
Not Hispanic
Asian
Black
Native American
White
Other
Name(s) of Parent/Legal Guardian: ______________________________________________________________________
Home address: _______________________________________________________________________________________
City: ____________________________
State: _________
Zip Code: ___________________
Parent e-mail address: _________________________________________________________________________________
Residence phone: ____________________
Business phone (m):___________________
(f): ___________________
School assignment (by high school attendance zone): ________________________________________________________
School presently attending: __________________________________________ Number of High School credits: ______________
Expected grade level for 2016-2017:
9th
10th
11th
12th
Plan Score, if 10th grade or higher
Is the student currently identified as: ___ EC ____504____AIG
If so, what area?
Will the student need bus transportation? (Available only to students living in Catawba County)
Yes
No
How did you hear about HCAM? _______________________________________________________________________
Please return this application to:
Kyle Eaker
Hickory Career & Arts Magnet High School
409 8th Ave NE
Hickory, NC 28601
Phone: (828) 328-6738
Fax: (828) 328-8539
For office use only:
In compliance with federal laws, Hickory Public Schools administers all
educational programs, employment activities and admissions without
discrimination because of race, religion, national or ethnic origin, color, age,
military service, disability or gender, except where exemption is appropriate
and allowed by law. Refer to the Board of Education's Equal Educational
Opportunity Policy for a complete statement.
Date/Time Received: ______________________ by
Student is recommended for acceptance. Grade Level _____
Student is #
on a waiting list.
Student is not eligible.
Reason for ineligibility
Signature of the Principal: _______________________________________________ Date:
Entered into spreadsheet by:
Date:
Letter Mailed by:
Date:
Revised 12/20/15
Page 1 of 3
Date: _________________________
Student Name:
1. Why would you like to attend Hickory Career & Arts Magnet?
2. Tell us about yourself – how would others describe you?
3. What are your strengths/weaknesses?
4. What are your goals for the future (career plans, etc)?
5. Is there anything else that you would like to tell us that will help us get to know you?
Page 2 of 3
Parental Signature and Agreement Page
Parent Commitment Statement
I commit to be involved in my child’s education. I agree to be accessible and available to the school to discuss
my child’s academic progress.
I understand HCAM is a 1: 1 digital learning environment and my student will be assigned a Chromebook. I
further understand I will be required to attend a mandatory orientation/meeting with my student prior to
receiving the device and that I will be required to pay a technology fee of $25.00.
Additionally, participation in some programs at HCAM may require my child to take online classes and/or
courses from Catawba Valley Community College. If my child is enrolled in a course at another institution
while still enrolled as a student at HCAM, my child is subject to the polices, procedures and regulations of the
institution offering the class, especially those pertaining to grading, drop/add dates, and honor code. Any such
course taken by a student will appear on the student's transcript and the grade will be calculated into the grade
point average unless that course is dropped according the drop/add procedures of the outside institution. I
understand that there is a GPA requirement of 3.0 to be admitted into the college academies and that to remain
in the college courses during the junior and senior year; I must maintain at least a 3.0 GPA. I also understand
that my student must maintain a GPA of 2.0 to continue enrollment at HCAM. Students are expected to
maintain appropriate behavior while enrolled at HCAM. Inappropriate behavior may be deemed as grounds for
dismissal from HCAM.
By submitting this application, I understand the commitment of effort and time my child is undertaking if
accepted into Hickory Career & Arts Magnet. This commitment includes agreeing to keep my child in the
program for at least one full academic year. If at the end of any high school year my child is unwilling or
unable to continue studies at Hickory Career & Arts Magnet, I understand that she/he will be reassigned to the
high school of her/his attendance zone. I also understand that any academic, attendance or behavior problems
will be sufficient cause to rescind any reassignment that may be granted.
Our signatures below affirm agreement to the parental commitment statement and acknowledge that all
information provided in this application is accurate and complete.
Parent Signature:
Date