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 [email protected] lwcharterschools.com Anuj Saran Director of Operations/IB [email protected] lwcharterschools.com Daniele Shick Assistant Principal of Curriculum [email protected] lwcharterschools.com Rebecca Thomas Counselor Students A-L [email protected] lwcharterschools.com Teri Roberts Counselor Students M-Z [email protected] lwcharterschools.com Brenda Smith Guidance Secretary [email protected] 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.