Student
Name: _________________
High School: _________________
Apply
Referred by: _________________

PLEASE SELECT WHICH ACADEMY THIS APPLICATION IS FOR IN THE
BOXES BELOW THE LOGOS.
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Marivel Nanez
AAAA Coordinator ITSA
Coordinator MTA
Coordinator
210-932-5758 210-587-4422 210-932-5756
mnanez@mail.accd.edu rizaguirre@mail.accd.edu egil10@mail.accd.edu
FORMS INCLUDED IN THIS PACKAGE NEED TO BE FILLED OUT AND
RETURNED TO THE ACADEMY OFFICE PRIOR TO ACCEPTANCE INTO
ANY PROGRAM.
IF YOU HAVE ANY QUESTIONS, PLEASE CALL THE COORDINATOR FOR
THE ACADEMY YOU ARE APPLYING FOR.
MAIL TO: Alamo
Academies
Students
selected for the program must meet the following criteria:
1.
Junior class standing
to include completion of all required courses toward high school graduation
plan.
2.
Completion of 12 credits by end of sophomore
year.
Completed application packet must
include:
1.
_____Dual Credit
Consent and Academy Application forms.
2.
_____Copy of
current Academic Achievement Record (AAR)/Official High School Transcript with
an official raised seal and one copy of the daily attendance report for
the current school year.
3.
_____Student must
be passing all high school classes with a “C” or higher. Special emphasis will be placed on the
following classes: Algebra I, Geometry,
and English.
4. ______ACCUPLACER WITH ESSAY (College
Placement Test)
·
All students must
take the Accuplacer w/Essay in order to determine enrollment in a Dual Credit
Program.
·
Exam consists of
Reading Comprehension, Elementary Algebra, Arithmetic, Sentence Structure and a
Written Essay.
·
Student must pass
at least one section (
·
There is a $15.00
fee for the exam-Student must bring a photo ID and SSN at time of testing.
·
There is a
practice website at www.testprepreview.com/accuplacer_practice.htm
that you can use.
·
You will receive
a printout of Accuplacer test scores that you can submit.
·
You may contact
one of the following testing centers to schedule for the Accuplacer w/Essay:
St.
Philip’s College: 210-531-3262
St.
Philip’s College Southwest Campus: 210-921-4699
5. Submit one copy of final report card to:
Alamo Academies
6. Complete
Apply
coordinator for
specific instructions. You will need to submit your Apply
number to the coordinator.
7. You will need to submit military verification form if applicable; and INS
documentation
if applicable (copy of resident alien card – front and back).
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Name Social
Security #
First MI Last
Home
Address
Street Apt # City Zip
Code
Name of Parent/Guardian Relationship
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Home
Phone Emergency Phone Cell Phone
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Current
Grade Level (at time of application) Date of Birth:
Please circle your answer under each
topic:
Ethnic
Origin: 1. White
(Non-Hispanic) 2. Hispanic/Amer-Span Surname 3. Black (Non-Hispanic)
4. American
Indian/Alaskan Native 5. Asian/Pacific Islander 6.
Non-Resident Alien
Gender: Male Female
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2.
Resident Alien Number
(Non
Please
list any special accommodations/services that may be required to complete your
academic classes:
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A
summer internship is part of the Academy Program. Will transportation to and from the work
place pose any problems for you? Yes No If yes, briefly
explain
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Please list any special accommodations that may
be required to complete your internship placement:
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List school and community activities you have
participated in (Note any leadership positions you have held).
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How
did you hear about the Academy?
I agree that the above information is honest and
accurate.
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Student
Signature Date
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The ALAMO COMMUNITY COLLEGE DISTRICT does not discriminate on the basis of sex, disability, race, color, or national origin in its educational programs, activities, or employment as required by Title IX, section 504 and Title VI
DUAL CREDIT
CONSENT FORM __________________________
(Please select
appropriate term)
□ Fall _____________ □ Spring _____________
Social Security Number: ___________________ - ____________ -
___________________ Grade Level:
_______________
Name:
________________________________________________ ____________________________________ _______
Last
First
M. I.
High School: _______________________________________ Course(s):
________________________________________
STUDENT CONSENT
I,
______________________________________________________, hereby grant St. Philip’s
College consent to request/retrieve my high school transcript, relevant test
scores, and grades on my behalf for the purpose of determining eligibility for
the Dual Credit program.
As
a student in the Dual Credit Program, I understand that St. Philip’s College
will not release my information to parties other than myself,
my parent/legal guardian, and high school officials unless I request so in
writing. I authorize St. Philip’s
College to submit my final grades for courses completed at St. Philip’s College
to my high school at the end of each semester in which I participate in the
Dual Credit program.
I
also understand that my official St. Philip’s College transcript will not be
released until my official high school transcript (affixed with graduation date
and appropriate seal and signature) is on file with the Office of
Admissions. I may, however, request in
writing that an unofficial transcript be released to other colleges and
universities for which I am applying for admission.
I
am aware that it is my responsibility to submit all required documents to
Office of Admissions at St. Philip’s College by the announced deadline(s) and
to maintain satisfactory academic progress.
I understand that failure to do so will prevent me from participating in
the Dual Credit program during subsequent semesters.
Student’s
Signature: ____________________________________________________________ Date: _____ / _____ / _____
PARENT/LEGAL GUARDIAN CONSENT
I
hereby grant my child, ________________________________________, permission to
enroll in the Dual Credit program at
St. Philip’s College.
I understand that courses will be more academically challenging than
traditional high school courses. If my child
registers for a course held on the St. Philip’s College campus, I understand
that he/she will be attending class with
St. Philip’s College students. I also understand that the subject matter of
the course may be more complex and mature in nature and that
expectations of student behavior and performance will be at a higher
standard. I also understand that,
although courses are generally transferable, it is my child’s responsibility to
ensure that the dual credit course(s) for which he/she registers are
transferable to the college/university he/she plans to attend.
Parent/Guardian’s
Signature: _____________________________________________________ Date: _____ / _____ / _____
HIGH SCHOOL CONSENT
High School Official’s Signature:
___________________________________________________ Date: _____ / _____ / _____
COLLEGE APPROVAL
College Official’s Signature:
______________________________________________________ Date: _____ / _____ / _____
The Alamo Community College District, including its
affiliate colleges, does not discriminate on the basis of race, religion,
color, national origin, sex, age or disability with respect to access,
employment, programs or services. Inquiries or complaints concerning these
matters should be brought to the attention of the EEO representative. Director of Human Resources, EEO Official/Title IX Coordinator,
Human Resources Department, 201 W.
Steps for
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FOR
Certificate
of Completion – CC
Then Major: Aircraft Turbines Mechanic – Dual credit
FOR
Certificate of Completion – CC
Then Major: Manufacturing Technology– Dual credit
FOR
Certificate
of Completion – CC
Then Major: Information Technology & Security– Dual
credit
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PLEASE CALL YOUR ACADEMY COORDINATOR IF YOU
HAVE ANY QUESTIONS.