Col. Zadok Magruder High School
Academy Programs Application
5939 Muncaster Mill Rd
Rockville, MD 20855
Rockville, MD 20
This will act as your letter of interest. After completing it, please submit it as noted below. You
will contacted by the respective Academy Coordinator with further information. Please note that
some academies require Capstone Projects, Internships, and/or College Course Completion. Be
sure to learn all requirements before submitting your application.
_____________________________________________________________________ ________________________
Last Name
First
M.I.
MCPS ID#
______________________________________________________________________________________________
Street Address
______________________________________________________________________________________________
Town/City
State
Zip Code
_____________________________________
Home Phone #
_______________________________
Cell Phone #
_____________________________________________________________
E-mail address
_____________________________________________
____________________________________
Current School
Counselor
__________
Grade
I would like to participate in the following Academy Program: (Please check one)
Arts and Humanities
Leadership/JROTC
Education
Science Research
Engineering
Finance
___________________________________________________
__________________________________________
Student Signature
___________________________________________________
__________________________________________
Parent/Guardian Signature
___________________________________________________
Parent/Guardian e-mail address
Parent/Guardian Name
After completing this form, please return it to the appropriate Academy Coordinator/Lead Teacher
from the list below:
Arts: Ms. Shpeen
Finance: Mrs. Cocker
Education: Ms. Nataro
Leadership/ROTC: Not Required
Engineering: Mr. Smith
Science Research: Mrs. Considine
If you have any questions about the academy programs, please contact:
Betty Nataro,
Director of Academy Programs
301 840-3549
MCPS prohibits illegal discrimination on the basis of race, color, gender, religion, ancestry, national origin, marital status, socioeconomic status, age, disability,
physical characteristics, or sexual orientation. Inquiries or complaints regarding discrimination or Title IX issues such as gender equity and sexual harassment
should be directed to the Office of the Deputy Superintendent of Schools at 301-279-3126, via the Maryland Relay at 1-800-735-2258, or addressed to that office
at 850 Hungerford Drive, Room 129, Rockville, MD 20850.