STUDENT INFORMATION Student Name: ________________________________________________________________________ Last (Apellido) First (Primer Nombre) Middle (Segundo) App (Apéndice) Birthdate: __________________ Place of birth: ___________________ Sex: _______________ MM / DD / YYYY City / State Female / Male Mes / Dia / Año Ciudad / País Private School: ______ has the student attend an MDCPS school in previous year: _______ (Escuela privada Si / No ) (el/la estudiante ha asistido a cualquier MDCPS escuela en años anteriores Si / No) Is student currently in MDCPs? ID Number: ______________________ (actualmente matriculado en una escuela MDCPS) Address / Dirección: ____________________________________________________________________ Indicate parent’s/guardian’s contact phone number to be used for emergencies and automated messages: (numero de telefono que podamos usar para emergencias y/o llamdas automaticas) Phone / Telefono: _______________________________________________ Father Name: _______________________________________ Cell Number: _______________________ (Nombre del Padre) Place of Employment: ________________________________ Work Number: ______________________ (Nombre de Empleo) Father’s email address: __________________________________________________________________ (correo electronico del padre) Mother Name: ______________________________________ Cell Number: ______________________ (Nombre de la Mamá) Place of Employment: ________________________________ Work Number: _____________________ (Nombre de Empleo) Mother’s email address: _________________________________________________________________ (correo electronico de la mamá) IT IS THE PARENT’S RESPONSIBILITY to inform the school in person of any changes in the information listed on this form. Date: ______________________________ Printed Parent Name: _______________________________ Parent’s Signature: ________________________________________________

TERRA Environmental Research Institute - 9th Grade Subject Selection Form - 2020-2021 School Year

Name: ____________________________________ Student ID # ______________________________ (Last Name) (First Name) (MI)

Parent’s Phone Number: _______________________ E-Mail Address: ___________________________

Gifted Student: ________

Directions: Courses will be selected during registration with a TERRA staff member. Please review and select your Elective courses prior to registration (see below).

Language Arts _____ A12 English I Honors _____ A13 English I Honors/Gifted

Mathematics ___ B22 Geometry Honors

___B23 Geometry Honors/Gifted

___ B32 Algebra II Honors

___ B33 Algebra II Honors/Gifted

___ B51 Pre-Calculus Honors

___ B52 Pre-Calculus Honors/Gifted

Science ____ C22 Biology I Honors

____ C23 Biology I Honors/Gifted ____ C42 Chemistry I Honors ____ C43 Chemistry I Honors/Gifted

___ C52 Physics I Honors ___ C53 Physics I Honors/Gifted

Social Studies ____ D12 World History Honors

____ D13 World History Honors/Gifted

____ D90 AP World History

____ D91 AP World History/Gifted

Academy Courses___ L01 Biomedical Research ___ K01 Environmental Research & Field Studies ___ M01 Robotics & Engineering Technology

Electives Choose five (5) electives from this section, number 1 being your first choice.

World Language Electives Non-Spanish Speakers Only

_____ F01 Spanish I

_____ F02 Spanish II

_____ F03 Spanish III Honors

_____ F04 Spanish IV Honors

Spanish Speakers Only

_____ F05 Spanish (Speakers I)

_____ F06 Spanish (Speakers II)

_____ F07 Spanish (Speakers III) Honors

_____ F08 Spanish (Speakers IV) Honors

_____ F90 AP Spanish Language

_____ F11 French I

_____ F12 French II

_____ F13 French III Honors

_____ F14 French IV Honors

_____ F31 Japanese I

Visual and Performing/Fine Arts Electives (*Requires Teacher Signature) _____ A60 Journalism I (Newspaper)

_____ A85 Debate I

_____ T31 Visual Technology I

____ W01 Theater I

____ W25/W26 Art I

____ W27 Art II*

____ W53 Concert Choir

___ W41 Guitar I

___ W91 Concert Band (1 year experience)*

___ W73 Orchestra (1 year experience)*

___ W84 Symphonic Band (Audition)*

Physical Education Elective

________ P01/P02 Personal Fitness/Comprehensive Fitness

Schedule changes will not be made after Subject Selection Form has been submitted. TERRA Environmental Research Institute reserves the right to make changes deemed necessary based on the master schedule. Selection of electives is based on availability. Based on phone conversation, the parent acknowledges the schedule is binding and approved by the counselor on your behalf.

Note: Advanced Placement (AP) courses are college level course. Please consider the rigor and challenge the course entails prior to requesting the course.

______________ ______________________ ________________________ Date Parent’s Signature Student’s Signature

Counselor Initials: __________ Date: ___________

MIAMI-DADE COUNTY PUBLIC SCHOOLS

HOME LANGUAGE SURVEY To Be Completed By Parent or Guardian I student l.D. No. ________ _

Student Name ________________ -----------------Last First Middle

Date of Birth -----'----'--Grade ___ Parent Language--------- Student Language--------Month Day Year

Date Entered U.S. School : ----'----'---

Ethnic (Check all Hispanic __ (Y/N} that apply) Race: \NhiteD Black D Asian D

Month Day Year American Indian D Native Pacific Islander D If the answer is "YES" to any of these questions, the student must be tested for English proficiency.

1. Is a language other than English used in the home?

2. Did the student have a first language other than English?

3. Does the student most frequently speak a language other than English?

School _______________ Date------ Parent/Guardian Signature ____________ _

CC: FILE IN CUMULATIVE FOLDER TO STAFF FOR TESTING

FM-5196ESH Rev. (05-16)

TERRA Environmental Research Institute •11005 SW 84th Street •Miami, FL 33173 • José L. Sirven, Principal 305-412-5800 • 305-412-5801 (FAX) • www.terrawolves.com

MAGNET CONTRACT AGREEMENT 2020-2021 SCHOOL YEAR

The student and parent have read, understood and agreed to abide by the following in order to be a student at TERRA Environmental Research Institute:

The TERRA Environmental Research Institute Magnet Contract. Initials: ________

The TERRA Environmental Research Institute Honor Code Policy. Initials: ________

The Miami Dade County Public Schools Attendance Policy. Initials: ________

The TERRA Environmental Research Institute Dress Code Policy. Initials: ________

The Miami Dade County Public Schools Media Release Parental Consent Form and Model and Talent

Release Form. Initials: ________

The Miami Dade County Public Schools Acceptable Use Policy for Computers, Cellular Telephones and

Internet Usage. Initials: ________

__________________________ __________________________ Print Student’s Name Student’s ID Number __________________________ __________________________ __________________________ Student’s Signature Parent/ Guardian Signature Date