HARRISON JUNIOR SCHOOL 8TH GRADE REGISTRATION SHEET 2015 - 2016 PLEASE PRINT Student’s Name:______________________________________________________ Male ____Female ___ First Middle Last Address:_________________________________________________ Phone #: ___________________ City:__________________________________________State:_________Zip Code:_________________ Date of Birth:__________________________ Place of Birth: city Has student attended a Southwest Local School previously? ___________ state Which School? ________________ Racial Origin ____Alaskan Native/American Indian ____White/Caucasian _____Asian _____Hispanic ___ Black/African American ___Multi-racial Mother’s Name:____________________________ Mother’s Maiden Name:________________________ Father’s Name: _______________________________________________ Parents: Married ______ Divorced ______ Separated _______ Deceased ________ Never Married _____ Child Lives with: Both Parents _____ Mother _____ Father _____ Neither ______ Custodial Order or Decree: Yes _____ No _______ Guardian / Step Parent _____________________________________________ Parent email address ________________________________________________ Last School Attended:__________________________________________________________________ School Address:_________________________________________________________________________ City:_____________________________________________State:____________Zip Code_____________ Any Special Services, 504 or I.E.P. from previous school? Yes ________No _________If yes, please explain: Does your child have any medical problems (speech, hearing, allergies, etc.) that the school should be aware of? Yes ____ No _____ Please explain: REQUIRED COURSES; Elective Courses Choose two if interested – note students who choose one elective will not receive required course line #6. Students who choose two electives will not receive required course line #5 or line #6. 1. Language Arts 2. Math 3. Science ______ Band 4. Social Studies _______ Chorus 5. Gateway to Technology/Health 6. Tech 2/Study Hall Foreign Language * Placement will be based upon available staffing and teacher recommendation. _____ Spanish _____ French ___________________________________ STUDENT’S SIGNATURE ___________________________________ PARENT’S SIGNATURE Harrison Junior School Academic/Career Planning Our Goal: To have all Southwest graduates prepared for college and career (academically and socially) Areas of Interest It is important for students to understand their interests, skills, and work values. When students know what they like and what they are good at, it will help them find a satisfying career. Southwest Local students will complete a Career Interest Assessment at www.kuder.com during 6th grade, 8th grade, and 10th grade. Parents and students are encouraged to log back into the site to explore interest inventory results when making scheduling choices. Log in information: www.kuder.com, click log in, choose Kuder Navigator. Username: first name, last name, birth year. Password: lunch number. Go to learn about myself tab to explore results. Use these results to begin to think about career options. Future Pipelines to Consider Four Year College and Beyond: Harrison High School Diploma, Bachelors, Masters, Specialist, Doctorate. Tech School/Two Year College and Beyond: Harrison High School Diploma, Industry Standards Certification, Associates Degree, Bachelors Degree. Military and Beyond: Harrison High School Diploma, Associates Degree, Military Ready. Work Place Ready and Beyond: Harrison High School Diploma, Career Training. Apprenticeship and Beyond: Harrison High School Diploma, Career Training.