2012 Summer Online Academy Registration Form

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    Send completed registration formsand tuition fees (made payable to

    North Hills School District) to:

    North Hills School DistrictAn. Online Academy135 Sixth AvenuePisburgh, PA 15229Email: [email protected]: 412.318.1017

    Students Name: Date of Birth:

    Email Address: Home Phone:

    Address: Cell Phone:

    City: State: Zip:

    2011-12 Grade Level: 7th 8th Freshman Sophomore Junior Senior

    Resident School District:

    School Name:Building Principals Name:

    Parent/Guardian Name(s):

    Email Address: Home Phone:

    Address: Cell Phone:

    Credit Recovery Courses

    Health ($339)

    Standards of Language Arts ($339)

    Standards of Mathematics ($339)

    Overview of Art History ($339)

    Flash Animation ($339)

    Enrichment/For Credit Courses

    Registration

    English 7 ($225)

    English 8 ($225)

    English 9 ($225)

    English 10 ($225)

    English 11 ($225)

    English 12 ($225)

    Social Studies 7 ($225)

    Social Studies 8 ($225)

    Social Studies 9 ($225)

    Social Studies 10 ($225)

    Social Studies 11 ($225)

    Social Studies 12 ($225)

    Science 7 ($225)

    Earth, SpaceScience 8/9 ($225)

    Biology ($225)

    Conceptual Chemistry ($225)

    Conceptual Physics ($250)

    Math 7 ($225)

    Math 8 ($225)

    Algebra 1 ($225)

    Geometry ($225) Algebra 2 ($225 Health ($115)

    ~ Summer 2012 ~

    Strategies for Academic Success ($275)

    Teen Transitions ($339)

    Computer Applications ($339)

    Drivers EducationTheory only($125)Please note the price in the program brochure isincorrect. The correct cost of this course is $125.

    *Japanese Language and Culture I($450-High school credit only)

    *Japanese Language and Culture I($699-High school + 3 college credits)

    *Russian Language and Culture I($450-High school credit only)

    *Russian Language and Culture I($699-High school + 3 college credits)

    *Japanese Language and Culture I meets live online from 10-11:30 a.m. Monday-Friday from June 18 to Aug. 2.*Russian Language and Culture I meets live online from 8:30-10 a.m. Monday-Thursday from June 25 to Aug. 8.

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    Students must attend one of the scheduled orientation meetings. Course expectations, syllabi and all

    textbooks and materials will be distributed at this time. In addition, an introduction to Blackboard, the

    course management software, will be presented. Students in dual enrollment course do not have to attend

    these orientation meetings. Dual enrollment course orientation and testing will take place online. Orientation will be held from 9 a.m. ~ noon on June 20 and June 21, 2012. Please indicate which

    session you will be attending:

    Orientation

    Wednesday, June 20, 2012

    North Hills Senior High School

    53 Rochester Road

    Pittsburgh, Pa. 15229

    412.318.1402

    Thursday, June 21, 2012

    Peters Township High School

    264 East McMurray Road

    McMurray, Pa. 15317

    724.941.6250

    Friday, June 22, 2012

    to Monday, June 25, 2012

    Online OrientationStudents will receive a URL, login, and

    password via email to view the online

    orientation. Materials (if needed) will be

    mailed to the students home address.

    Students must report to one of five testing sites to complete periodic assessments to monitor

    achievement in the online course. Assessments, which will be given from 9 ~ 11:30 a.m., are scheduled

    for the followings dates: 0.5 Credit Recovery Courses: July 9, July 23 1.0 Credit Recovery Courses: July 9, July 23, Aug. 6 0.5 For Credit Courses: July 9, July 23, Aug. 6, Aug. 20 Requests for makeup testing dates may be granted on an individual basis

    Please indicate which testing site you will utilize:

    Testing

    North Hills Senior High School

    Northgate High School

    Peters Township High School

    Osborne Elementary School(Quaker Valley School District)

    South Fayette High School

    I understand that the student must attend orientation, complete all assignments and take exams at the indicated testing site in

    order to receive credit for the online course(s). I further understand that the student is responsible for the replacement of any lost

    or damaged course materials.

    Registration and fees (made payable to North Hills School District) are due no later than June 20, 2012. Refunds will not be

    given once the course begins.

    Student Signature: Date:

    Parent/Guardian Signature: Date:

    Guidance Counselor Signature Date:

    Principal Signature Date: