Student's First Name |
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Student's Last Name |
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Date of Birth |
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Student Street Address |
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Student City |
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Student State |
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Student Zip Code |
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Primary Home Phone |
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Student Current School |
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Current Grade | Grade 8 Grade 9 Grade 10 |
Residency: Are you a Narragansett or Jamestown Resident? If neither, please choose other. | Narragansett Resident Jamestown Resident Other (Out of District) |
Does your student have either of the following? | IEP 504 Plan |
Mother/Guardian First Name |
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Mother/Guardian Last Name |
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Mother/Guardian Email |
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Mother/Guardian Cell Phone |
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Mother/Guardian Address | Same as Student Different |
Mother/Guardian Street Address |
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Mother/Guardian City |
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Mother/Guardian State |
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Mother/Guardian Zip Code |
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Father/Guardian First Name |
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Father/Guardian Last Name |
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Father/Guardian Email |
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Father/Guardian Cell Phone |
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Father/Guardian Address | Same as Student Different |
Father/Guardian Street Address |
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Father/Guardian City |
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Father/Guardian State |
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Father/Guardian Zip Code |
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Please Answer The Below Questions Thoughtfully and Completely: |
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Why are you interested in enrolling in the Information and Computer Technology pathway? |
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What, if any, computer classes have you taken? |
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What, if any, computing and technology skills do you currently have? Consider word processing, spreadsheets, databases, simulations, creating a web site, coding in a language (HTML, C++, Java, etc.), networking (CISCO, etc.), creating games, Photoshop or pixlr, building a computer or troubleshooting hardware/software, video editing, music editing, etc. |
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How would you rate your mathematical skills on a 1 through 5 scale with 1 being the lowest and 5 the highest? |
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Which of the topics listed below interests you most and why? (Write a couple of sentences explaining your reasons for interest.) Web Design Game Design Programming Cyber Security Computer Hardware Computer Networking Other |
Please Share How You Heard About our CTE Programs Social Media Website Recommendation by Family/Friend Open House AdvertisementShadow Day/School Visit Opportunity Other |
STATEMENT OF UNDERSTANDING I understand that as a member of the Career and Technical Education Pathway program at Narragansett High school in Agriculture Science, Information and Computer Technology, and Mechanical Trades in Plumbing, I am required to take the sequence of courses set forth by the program. In addition, I understand that I need to maintain and appropriate level of conduct and academic expectations that are set forth within the courses within the program. By signing and submitting this form, I agree that if my grade for the courses is below an 80 at any progress reporting period, I will be required to attend support sessions until my grade increases to an 80 or higher on a progress/quarter grade reporting period. I also recognize that if my conduct is such that it causes a safety concern for myself or others, I will not be able to continue in the pathway and will forfeit any opportunities granted to me by being enrolled in the program. For out of district students, this would mean returning to your sending school district. |
School records requested by Narragansett may include, but are not limited to, course grades, standardized tests, Individualized Education Plans (IEPs), attendance, health and medical records, extracurricular activities, conduct reports, social case history assessment, speech/languege evaluation and psychological/educational/psychiatric evaluation reports. I hereby give permission to my child's current school/district to release the school records of my child (named in the above form) to the Narragansett School District for the purpose of application/admission/placement into Narragansett High School Pathway. By checking the box below AND signing with your full name, you are giving the Narragansett School System permission to obtain these records from the student's current school. |
I acknowledge the above and approve the release of student records (Please check box to confirm) |
Full Name of Consenting Parent/Guardian (serves as signature) |
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If you plan to move forward with this application and/or you are accepted, you will also be required to print this application and submit it to the superintendent of schools in the district where you live. Once you receive this signature, you have the option to either drop off a signed copy to our High School office or scan and email a PDF to Joan Pratley at [email protected]. This is to ensure the district in the town where you live is aware of the potential out-of-district enrollment for budgetary purposes. Narragansett and Jamestown residents DO NOT need to print out the application and have their Superintendent sign it. Please check off the box, then disregard this section if your residency is in either town. | I agree (Please print email and have superintendent sign on provided line.) |
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Superintendent Signature: ___________________________________________ Date of Signature: ____________________________ |