ACADEMIC BLOCK T
INSTRUCTIONS FOR CANDIDATES
Please fill out the attached application completely. You are responsible for stapling proof of your
eligibility (a copy of your transcript – NOT a copy of your grades) to the application. Use the form which
is provided with this application to order a transcript from the registrar. It does not have to be an official
transcript, just a copy. The Academic Recognition Committee will only use the student’s transcripts to
determine student eligibility. It is your responsibility to have the registrar correct any errors in the
transcript before it is submitted. Applications must be returned to Mrs. Hutsell in room E-111 NO
LATER THAN 3:20 P.M., Wednesday, March 4, 2015. NO LATE APPLICATIONS WILL BE
ACCEPTED.
WHO IS ELIGIBLE?
A student may qualify for the Academic Block T in one of two ways.
A.
Straight A’s (or a Semester TGPA of 4.0 or higher)
1.
Freshmen with Straight A’s in their first semester at Tracy High are eligible for
the Academic Block T.
2.
Sophomores, juniors, and seniors with Straight A’s (or a Semester TGPA of 4.0 or
higher) in either of their two most recent semesters (fall or spring 2014) at Tracy
High are eligible for the Academic Block T.
In order for students to earn their Academic Block T using the Straight A’s (or a Semester TGPA
of 4.0 or higher) option, they must have taken a minimum of three courses from the University of
California A-G list during their Straight A’s (or a TGPA of 4.0 or higher) semester. The A-G list
is available in the counseling center.
B.
Cumulative Academic Grade Point Average (9-12) (called ACA GPA (9-12) on
transcript)
1.
At the end of the first semester of the school year, sophomores with a Cumulative
Academic GPA (9-12) of 3.94 or higher on their transcript, juniors with a
Cumulative Academic GPA (9-12) of 3.85 or higher, and seniors with a
Cumulative Academic GPA (9-12) of 3.75 or higher on their transcript are
eligible for the Academic Block T.
In order for students to earn their Academic Block T using the Cumulative Academic GPA (912) option, they must have taken a minimum of three courses from the University of California
A-G list in each semester of high school they have completed. The A-G list is available in the
counseling center.
ACADEMIC BLOCK T APPLICATION
Staple a copy of your transcript to this application. (No transcripts printed from
the internet will be accepted.) Be sure to read all of the instructions on the
backside of this application BEFORE filling out the form.
YOU MUST COMPLETELY AND CORRECTLY FILL OUT THE ENTIRE
APPLICATION. NO LATE APPLICATIONS WILL BE ACCEPTED.
NAME _________________________________________________________________
(LAST)
(FIRST)
STUDENT ID NUMBER ______________ GRADE IN SCHOOL _________________
2ND PERIOD TEACHER AND ROOM NUMBER ______________________________
HOW MANY PRIOR ACADEMIC BLOCK T’s HAVE YOU RECEIVED? _________
CHECK METHOD OF QUALIFYING
(USE ONLY ONE METHIOD)
STRAIGHT A’s (OR 4.0 TGPA)
CUMULATIVE ACADEMIC GPA (9-12)
FALL SEMESTER __________
(END DECEMBER 2014)
GRADE 10 – 3.94 OR HIGHER _________
SPRING SEMESTER ________
(END JUNE 2014)
GRADE 11 – 3.85 OR HIGHER _________
GRADE 12 – 3.75 OR HIGHER _________
Draw a box around the qualifying
semester grades on your transcript.
Circle three University of California
A-G courses in your qualifying
semester.
Draw a box around the qualifying
cumulative Academic Grade Point
average on your transcript.
Circle three University of California
A-G courses each semester at
Tracy High School.
 STAPLE A COPY OF YOUR TRANSCRIPT TO THIS APPLICATION
 TURN IT IN TO MRS. HUTSELL IN ROOM E-111
 IT MUST BE TURNED IN NO LATER THAN WEDNESDAY, MARCH
4, 2015.
ACADEMIC BLOCK T TRANSCRIPT REQUEST
IF YOU ARE CURRENTLY ENROLLED AT TRACY HIGH SCHOOL AND
ARE UNDER THE AGE OF 18, A PARENT OR GUARDIAN SIGNATURE IS
REQUIRED. THE SCHOOL WILL FURNISH A TRANSCRIPT FOR THE
PURPOSE OF THE ACADEMIC BLOCK T AT NO CHARGE.
STUDENT ID# _______________________________
STUDENT NAME ____________________________
DATE OF BIRTH _____________________________
CURRENT GRADE LEVEL ____________________
TRANSCRIPTS ARE PRINTED DAILY. REQUESTS MUST BE SUBMITTED
TO THE REGISTRAR’S OFFICE PRIOR TO 8:00 AM AND MAY BE PICKED
UP AFTER SCHOOL THAT SAME DAY.