2014-2015 BPS high school application.doc

7/27/2019 2014-2015 BPS high school application.doc

1/7

BUFFALO PUBLIC SCHOOLS HIGH SCHOOL APPLICATION 2014-2015

Applying to grade: School # currently attending: School name currently attending:

Student last name: Student first name: MI:

Date of birth: Gender: Student Identification Number:

/ /Address of student:

House number & street Apartment #

City: State: Zip code:

Last name of parent/guardian: First name of parent/guardian:

Home telephone number: Alternate telephone number:

_ _ _ _

(area code) (area code)

Please mark each category that applies with an (X):

Does the student currently receive special education services? Yes No

Does the student currently receive 504/ADA (American Disability Act) Services? Yes No

Is there another language spoken in the home? Yes No

Does the student currently receive ELL (English Language Learner) Services? Yes No

If yes, what type? English as a Second Language Bilingual

Final Grades 2012-2013 Summer School Grades 2013

1ST Quarter Grades 2013-2014 Attendance

NYS Assessment Scale Scores 2012-2013 Name of other Standardized Test:

Signature of principal or school counselor Title Date

*Grades, attendance and standardized test scores are ONLY used for the following schools: #156 Frederick Law Olmsted, #195 City Honors, #200 Bennett HS LawProgram only, #212 Leonardo da Vinci HS, #304 Hutchinson Central Technical HS, and #415 Middle Early College HS.

This completed application and consent form must be returned on or before Friday, December 6, 2013 to: Central Registration Center, Student Placement Office, 33 Ash

Street, Buffalo, NY 14204.

English Mathematics Science Social Studies

Grades & Attendance*

English Mathematics Science Social Studies 2012-2013 2013 (1st Quarter)

Standardized Tests*

English Mathematics English Language Arts Mathematics Month/Year Tested

The Board of Education does not discriminate on the basis of age, creed, disability, marital status, national origin, race, color, gender, or sexual orientation in its

educational programs, services and activities. Inquiries regarding this nondiscrimination policy may be directed to the Deputy Chief of Talent Management, 720 CityHall, Buffalo, NY 14202 or by calling (716) 816-3743.

English Science Social StudiesMathematics


2/7


THIS FORM IS DUE BACK TO YOUR CHILDS SCHOOL COUNSELOR BY NOVEMBER 15, 2013.

Last name of student: First name of student: MI:

Students Date of Birth: - -

The school counselor and your child have discussed the most appropriate choices available for high school. Based on your childs

interests and academic performance, the following schools have been selected for your approval and signature. If you do not agree with

these choices, please make the change, initial and sign where requested.

Schools must be ranked in order of preference (School Number 1 being your most desired school).

School name, number and codes are attached to this application. The school number and program code must be written exactly

shown in the boxes below.

Some specific services for students with disabilities may not be available in all schools.

Please be aware that there is heightened risk of exposure to allergenic foods for students enrolled at the Emerson School of

Hospitality. The Buffalo Public Schools will comply with the American Disabilities Act (ADA) and other federal and state statue

regarding any student with a disability. Please be aware that it may not be possible to accommodate every students needs at

Emerson School of Hospitality.

Please answer the following question and prioritize your response: 1-most important 2-somewhat important 3-least importantWhen selecting high school choices, I focused on:

distance from home programs offered specific school

Your signature indicates that you:

Certify that yourprimary residence is within the city limits of Buffalo, New York.

Fully agree with your childs school selections

Understand that if your child is not accepted into any of the above listed school selections, he/she will be assigned to the genera

education component of a high school, based upon seat availability

Acknowledge that all assignments carry a one-year commitment

Signature of parent/guardian: Date:

SIBLING preference is granted based upon space availability and the following conditions:

1. Sibling must be a brother or sister of the applicant and reside within the same household.

2. Sibling preference does NOT apply to criteria-based programs.

3. Sibling must be currently registered in a Buffalo Public School or sibling applications must be submitted at the same time.4. Preference must be requested on the application.

5. Priority is given to applications submitted on or before the deadline.

Last name, first name, middle initial of sibling: School that sibling attends:

CHOICES

School Number 1

Program Code

School Number 2

Program Code

School Number 3

Program Code


3/7

*Board of Education Policy adopted June 26, 2013 regarding Career and Technical Education Programs:pplications will be made through the Parental Choice applications for all Career and Technical Education programs for students entering 9 th or 10th grade in accordance with the applicationrocess. Acceptance into the Career and Technical Education programs will be based on a holistic approach with the primary indicator being the students interest. An interest inventory will beequired and available through NYSED/DOL Career Zone (http://www.mynextmove.org/explore/ip) . The students 7th & 8th grade attendance, grades and behavior will also be evaluatedolistically, but may not be used to preclude the students admission into a Career and Technical Education program. Additionally, all available seats in 9th and 10th grades will be filled to capac

nd no student should be denied access due to secondary indictors if an opening exists. (Updated 10/11/2013)

HIGH SCHOOLS PROGRAMS OFFERED CRITERIA

Buffalo Academy of Visual & Performing Arts 192450 Masten Avenue (716) 816.4220

Accountability status: Focus School

CMM Communication Arts/MediaDAN DanceMSC Music (Vocal or Instrumental)THT TheaterVIS Visual Arts

Audition required, Letter of Recommendation (addreartistic ability), Letter of Recommendation (from ELAMathematics teacher addressing academic ability)

Bennett High School 2002885 Main Street (716) 816.4250

Accountability status: Priority SchoolMandatory uniform policy

GEN General Education

LAW Law Program/Legal AssistantNYS ELA Assessment, Attendance, RecommendatiForm

BUS Business AdministrationFST Forensic TechnologyVIR Virtual Enterprise

*See below

Burgard High School 301400 Kensington Avenue (716) 816.4450

Accountability status: Priority School


AMT Automotive TechnologyCAD CAD/CAM Computer Aided Design & ManufacturingWLD Welding

*See below

City Honors School at Fosdick-Masten Park 195186 East North Street (716) 816.4230Accountability status: Good Standing

IBA International Baccalaureate/AccelerationCognitive Ability Assessment (entrance examinationNYS ELA & Mathematics Assessments, Grades,Recommendation Form, Attendance

East High School 307820 Northampton Street (716) 816.4520


FST Forensic TechnologyHOT Health/Nurse Assisting

*See below

MCB Medical Corridor Bridge ProgramGEN General Education

Emerson School of Hospitality 30286 West Chippewa Street (716) 816.3018Accountability status: Good Standing

HOS Hospitality/Culinary ArtsRecommendation Form*See below

Frederick Law Olmsted 156

319 Suffolk Street (716) 816.4330

Accountability status: Good Standing

GAT Gifted & Talented

Cognitive Ability Assessment (entrance examinationNYS ELA & Math Assessments, Grades,Recommendation Form (one from teacher/one fromparent; see specific form for this school) available atwww.buffaloschools.org or 33 Ash Street.

Hutchinson Central Technical High School 304256 South Elmwood Avenue (716) 816.3888Accountability status: Good Standing

BCT Biochemical TechnologyCMP Computer TechnologyELT Electrical TechnologyENG Engineering

Entrance Examination, Grades, Recommendation F*See below

International Preparatory School 198110 14th Street (716) 816.4300Accountability status: Priority SchoolDress code

BUS Business Administration *See below

ADA Architectural & Art DesignGEN General Education

Lafayette High School 204370 Lafayette Avenue (716) 816.4340Accountability status: Priority School

BUS Business Administration *See below


Leonardo da Vinci High School 212320 Porter Avenue (716) 816.4380

Accountability status: Good Standing

DAV da Vinci NYS ELA & Mathematics Assessments, Grades,Attendance, Recommendation Form

Math, Science, Technology Preparatory School 197666 East Delavan Avenue (716) 816.4500Accountability status: Focus SchoolMandatory uniform policy

ENT Environmental Technology*See below

ENV Environmental ScienceMED Medical Science

Science & Mathematics Grades, Recommendation F


McKinley High School 3051500 Elmwood Avenue (716) 816.4480


AQU Aquatic EcologyCRP CarpentryELC ElectricalHVA Heating, Ventilation, & Air Conditioning,HTC HorticulturePLM PlumbingPRT Printing

*See below

Middle Early College High School 415290 Main Street (716) 851.3763

Accountability status: Focus School

MEC Middle Early College

NYS ELA & Mathematics Assessments, Grades,Attendance, Recommendation Form (see specific ffor this school) available atwww.buffaloschools.org

Ash Street, Parent/Student Interview

Riverside High School 20551 Ontario Street (716) 816.4360


ETP EntrepreneurshipFIN Finance (National Academy of Finance)MED Medical StudiesPTF Personal Training & Fitness

*See below


South Park High School 206150 Southside Parkway (716) 816.4828


BIT Business Information TechnologyPTF Personal Training & FitnessVIR Virtual Enterprise

*See below

GEN General EducationHON Honors
http://www.mynextmove.org/explore/iphttp://www.buffaloschools.org/http://www.buffaloschools.org/http://www.buffaloschools.org/http://www.buffaloschools.org/http://www.mynextmove.org/explore/ip


4/7


RECOMMENDATION FORM

This form can be completed for all students submitting a high school application for 2014-2015, but MUST be completed if the

tudent is applying for any of the following programs: #156 Frederick Law Olmsted, #195 City Honors, #200 Bennett HS (Law

Program only), #212 Leonardo da Vinci HS, #302 Emerson School of Hospitality, #304 Hutchinson Technical HS, #197 Math,

cience, Technology Preparatory School (Environmental Science & Medical Corridor programs only), and #415 Middle Early

College HS. Please note that students applying to Frederick Law Olmsted #156 or Middle Early College HS #415 must also have t

Frederick Law Olmsted #156 Recommendation Form orMiddle Early College High School #415 Recommendation Form completed.

Last name of student: First name of student:

tudent Identification Number:

To be completed by each teacher using the following key:

5 Excellent 4 Very Good 3 Average 2 Fair 1 Below Average

COURSES EFFORT ATTITUDE STUDY

SKILLS

INITIATIVE COOPER-

ATION

MATURITY COMMU-

NICATION

SKILLS

TOTAL INITIALS

ART

ENGLISH

FOREIGN

LANGUAGE

HOME/CAREERS

MATHEMATICS

MUSIC

PHYSICAL

EDUCATION

SCIENCE

SOCIAL

STUDIES

TECHNOLOGY

OTHER*

OVERALL

TOTALComposite

Number

Composite

Percentage

*Othercan be completed by administrator, school counselor, coach, mentor, or other adult who interacts with the student on a regular bas

TEACHERS EVALUATIONS


5/7

BUFFALO PUBLIC SCHOOLS HIGH SCHOOL APPLICATION 2014-2015HOME LANGUAGE QUESTIONNAIRE This form MUST be completed by all NEW ENTRANTS to Buffalo Public Schools

Grade applying for: Date of birth: Gender:

Last name of student: First name of student:

Student street address: Zip code:

Application The University of the State of New York The State Education Department Office of Bilingual Education, Albany, New York 12234

Home Language Questionnaire

PLEASE X BOXES THAT APPLY

1. What language(s) is spoken in the students home or residence? English Other:

specify

2. What language(s) is spoken most of the time to the student, in the

home or residence? English Other:

specify

3. What language(s) does the student understand? English Other:

specify

4. What language(s) does the student speak? English Other:specify

5. What language(s) does the student read? English Other

specify

6. What language(s) does the student write? English Other:

specify

7. In your opinion, how well does the student understand, speak, read and write ENGLISH?

Understands English: Very well Only a little Not at all

Speaks English: Very well Only a little Not at all

Reads English: Very well Only a little Not at all

Writes English: Very well Only a little Not at all

Signature of parent/guardian: Date:

Parent or Guardian:

In order to provide your child with the

best possible education, we need to

determine how well he/she understands,speaks, reads and writes English. Your

assistance in answering these questions

is greatly appreciated.

TO BE COMPLETED BY SCHOOL PERSONNEL

DISTRICT Please print or type clearly

SCHOOL GRADE

STUDENT NAME

DATE OF BIRTH Month: Day: Year:

STUDENT IDENTIFICATION NUMBER

COUNTRY OF BIRTH/ANCESTRY

NUMBER OF YEARS ENROLLED IN SCHOOL OUTSIDE THE US

NAME/POSITION OF SCHOOL PERSONNEL COMPLETING THIS SECTION

DETERMINATION: Possible LEP

English Proficient


6/7


FREDERICK LAW OLMSTED #156 RECOMMENDATION FORM

This form MUST be completed by the students teacher (prior year) if possible. ONLY complete this form if applying to Frederick Law

Olmsted #156.

Name of Student: DOB:

Please read these statements and rate the student according to the following scale:

1. Seldom or never observed the trait2. Observed the trait occasionally

3. Observed this characteristic to a considerable degree

4. Observed this characteristic almost all of the time

CREATIVE CHARACTERISTICS MOTIVATIONAL CHARACTERISTICS

1. Generates many ideas or solutions _________ 1. Is easily bored with routine tasks _________

2. Is a high-risk taker _________ 2. Needs little external motivation _________

3. Displays intellectual playfulness 3. Is interested in adult problems

(Imagines: What if . . . ) _________ (religion, politics, world problems) _________

4. Displays a great deal of curiosity _________ 4. Strives toward perfection _________

5. Is sensitive to beauty; attends to 5. Prefers to work independently; requires littleaesthetic characteristics of things _________ direction from the teacher _________

6. Displays a keen sense of humor _________ 6. Becomes absorbed/truly involved in certain topics ________

7. Is uninhibited in expression of opinion, is 7. Likes to organize and bring structure to things,

radical, spirited _________ people; and situations _________

8. Is usually aware of his impulses & 8. Is quite concerned with right and wrong,

shows emotional sensitivity _________ good and bad; often evaluates _________

9. Criticizes constructively; is unwilling to 9. Often is self-assertive; stubborn in his/her beliefs _________

accept authorization pronouncements _________

10. Is non-conforming; is not interested in TOTAL

details, is individualistic, does not fearbeing different. _________

TOTAL

LEARNING CHARACTERISTICS

1. Has verbal behavior characterized by 5. Has a ready grasp of underlying principles

richness of expression, elaboration and can quickly make valid generalizations about

& fluency _________ events or things _________

2. Possesses a large storehouse of information 6. Is a keen and alert observer, usually sees moreon a variety of topics _________ in stories, films, etc. _________

3. Has quick mastery and recall of factual 7. Reads a great deal; does not avoid difficultinformation _________ material _________

4. Has rapid insight into cause and effect; 8. Tries to understand complicated materials by

asks provocative questions _________ separating it into its parts; reasons things out

for himself/herself _________

TOTAL

How long have you known this student?

Signature: Title:


7/7


MIDDLE EARLY COLLEGE HIGH SCHOOL #415 RECOMMENDATION FORM

This form MUST be completed by the students school counselor or school administrator if a student is applying t

Middle Early College High School #415 ONLY.

Name of student:

DOB: Student ID#

Disciplinary History

In the last 12 months: Number of formal suspensions _______ Number of informal suspensions _______

Check one:

Disciplinary issues: Often _____ Occasionally _____ Never _____

1. Some course work at Middle Early College High School takes place on a college campus. Please describe

the students capacity to be successful in this environment.

Comments:

2. Do you believe that the Middle Early College High School program will benefit this student? Why? Whynot? Be specific. Yes_______ No________

Comments:

How long have you known this student?

Signature: Title:

Documents

2014-2015 BPS high school application.doc