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Magnet Program Information

Application for the 2017-2018 School Year

For Students Entering Sixth-Eighth Grade

 

PLEASE SUBMIT ALL INFORMATION WITH THIS APPLICATION.

 

Student Name: _____________________________________________________________________

                                                     First                                    Middle                                       Last

Address:  __________________________________________________________________________

                                # and Street                       Apt.                                       City                        State                     Zip

 

Current Grade: ____   Date of Birth: __________________   Social Security Number: _____________________

 

Gender: __Male/ __ Female   Race: ___Asian___ Black___Hispanic___American Indian ___ Indian ___White 

 

 

School Currently Attending in 2015-2016: ______________________________ Teacher(s): ___________________

 

Proposed Grade for 2016-17: ____________   What school would your child attend next year:_______________

Has your child ever been retained? __________________

If the answer is yes, please give the grade level and school: ___________________________________________

Father's Name: ________________________________ Mother's Name: _________________________________

Father's Work: ________________________________  Mother's Work: _________________________________

Father's Work #: ______________________________   Mother's Work #: ________________________________

Father's Cell #: _______________________________    Mother's Cell #:  _________________________________

Father's Home Phone #: _________________________Mother's Home Phone #: _________________________

Father's email: _________________________________Mother's email: ________________________________

*** My child will need transportation:  ____ YES   ____ NO

What is your child's first language? _______________________________________________

What language does your child speak most often? ___________________________________

What language do people usually speak in your home? _______________________________

 

Has your child ever been identified or enrolled in a gifted education program in another school or school district? _________________________________

If yes, when? _____________________________ Where: __________________________________________

Does your child receive any Special Education Services? ___________________________________________

Resource _____________ Speech _____________ Other _____________

Please provide a copy of your child's Individualized Education Plan if he/she requires test modification or is receiving services through Special Education.

FOR STUDENTS OUTSIDE THE BEDFORD COUNTY SCHOOL SYSTEM

Standardized Test or TCAP Information 

Attach the most recent standardized achievement test scores or TCAP scores (this can be obtained from your child's homeroom teacher or school office)

Test:  _______________________________________________ Date:  ____________________________

 

Total Reading Percentile Rank:  ___________________________________

Total Mathematics Percentile Rank:  _______________________________

Total Language Percentile Rank:  __________________________________

Total Science Percentile Rank:  ____________________________________

Total Social Studies Percentile Rank:  _______________________________

We request that all of the parents or guardians of the child named above sign below to indicate agreement with this student making application to the Thomas Magnet School for the 2016-2017 school year.  If custody is shared, please arrange for both parents to sign consent below:

Parent/Guardian Consent:

I give permission for my child to be evaluated.

 

 

Signature of Parent or Guardian                                                               Date 

 

 

 

Signature of Parent or Guardian                                                               Date        

 

 

PARENTS MUST SUBMIT the application by January 27th,

 

2017 to Harris Middle School.  Applications can be submitted in person at Harris Middle School or via mail at the address listed below:

 

Harris Middle School

570 Eagle Blvd.

Shelbyville, TN 37160

Harris Middle School operates a magnet program for students in 6th-8th grade.

Admission Criteria for 6th grade students:

Attention:
Testing for incoming 6th grade magnet applicants who have met deadline requirements will take place Saturday March 18th at 8am at Harris Middle School. Please use the front entrance.
Make up Tests will take Place Tuesday March 21st at 6PM.

7th Grade & 8th Grade Admission

  • Students making satisfactory academic progress in the HMS magnet program, will continue in the HMS magnet program for the duration of a student's time at HMS.  Satisfactory progress is defined as meeting grade level expectations in math, ELA, science, and social studies
  • 8th grade students enrolled in the magnet program are eligible to take Algebra I and/or 8th grade Math.  PLEASE NOTE:  These students will still be required to take 4 years of Math in high school and cannot retake Algebra I as freshman