Lake Wales High School
Application & Course Registration Form
2013-2014
.
Name _________________________________________________________________________
Last
Student ID _______________________________
First
DOB _________/_________/_____________
Age __________
Ethnic Origin: Are you Hispanic or Latino?
Yes
Grade (for 13-14 year) ________
No
Gender:
Male
Female
Please check all that apply:
White
African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Current School ______________________________________________________________________________
Contact Information: ___________________________________________________________________________________________________________
Parent/Guardian Name
Relationship
Address: ________________________________________________________________________________________________________________________
Street Address
City
Zip
Email Address: _________________________________________________________________________________________________________________
Phone: __________________________________________________________________________________________________________________________
Cell
Chosen Program of Study:
*Application Required
Home
Ridge Liberal Arts
Agricultural
Academy*
Digital Media &
Multimedia Design
Academy*
Music Studies
Agriscience Foundations
*Ag Communications (Yr. 4 Ag Students)
Agritechnology I, II (Pre-requisite: Ag Foundations)
Vet & Animal Science 2, 3, 4, 5, 6
*Early Childhood I, II, III, IV
*Culinary Operations I, II, III, IV (cooking)
*JROTC I- LET 1/Leadership Ed I
*JROTC II –LET 2/Leadership Ed II
*JROTC III-LET 3/Leadership Ed III
*JROTC IV- LET 4/Leadership Ed IV
@Psychology (high school level)
INTERMEDIATE ALGEBRA (Fall)
COLLEGE ALGEBRA (Spring)
DESIGN
@ 18 week courses
Work
Advanced Studies
International Baccalaureate*
Culinary
FNG Automation & Production
Academy*
Technology Academy*
Early Childhood &
Medical Academy*
Teacher Education
Academy*
Sports Science & Management Academy
ELECTIVES
*Theatre I, II, III, IV
*TV Production I, II, III, IV
Mass Media I, II, III (Photography)
*Band I, II, III, IV
*Chorus I, II, III, IV
*Jazz Band I, II, III, IV
*Orchestra I, II, III, IV
Dance I, II, III, IV
Music Theory
Music Appreciation
@ SAT prep – Reading/Language Arts
@ SAT prep - Mathematics
ENGLISH COMP I (Fall)
ENGLISH COMP II (Spring)
*Intro to Info Tech (typing)
*Digital Design (Yearbook) I, II, III, & IV
*Web Design I, II
@Basketball/@Softball
@Team Sports I, II
@Individual/Dual Sports
@Beg/Intermediate Weight Training
@Adv. Weight Training/Power Lifting
@Fitness Lifestyles/Fitness Issues
@Personal fitness
Spanish I, II, III, IV
INTRO TO BUSINESS (Fall)
LEADERSHIP FUNDAMENTALS (Spring)
CERAMICS
* courses that count as Fine/Performing Arts graduation requirement
ALL CAPS indicate dual enrollment courses
Please list your top four choices for electives (on back). Please understand that you may not receive your top choices.
Lake Wales High School
Application & Course Registration Form
2013-2014
MY CHOSEN ELECTIVES
2nd Choice:
1st Choice:
3rd Choice:
4th Choice:
Priority for academy courses will be given to career academy applicants.
Intensive Reading or Intensive Language will take the place of elective choices for all FCAT Reading Level 1 and 2 students.
Student Signature: ________________________________________________________________
Date: ____________________________
Parent Signature: _________________________________________________________________
Date: ____________________________
CHANGES TO PROGRAM OR ELECTIVE CHOICES MAY BE SUBMITTED TO THE STUDENT SERVICES
DEPARTMENT.
APPLICATION & REGISTRATION DEADLINE: APRIL 1ST, 2013 (1st Round)
Early registration is imperative in order to reserve preferred courses and programs of study.
Please contact LWHS if past the deadline.
Donna Dunson
Principal
donna.dunson@
lwcharterschools.com
Anuj Saran
Director of Operations/IB
anuj.saran@
lwcharterschools.com
Daniele Shick
Assistant Principal
of Curriculum
daniele.shick@
lwcharterschools.com
Rebecca Thomas
Counselor
Students A-L
rebecca.thomas@
lwcharterschools.com
Teri Roberts
Counselor
Students M-Z
theresa.roberts@
lwcharterschools.com
Brenda Smith
Guidance Secretary
brenda.smith@
lwcharterschools.com
Lake Wales Charter Schools does not discriminate in admission or access to, or treatment or employment in its programs and activities, on the basis
of race, color, religion, age, sex, national origin, marital status, disability, genetic information, sexual orientation, gender identity or expression, or
any other reason prohibited by law.