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Honors Program Information

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Application for the 2018-2019 School Year

For Students Entering Sixth Grade, Harris Middle School operates an honors program for students in 6th-8th grade.

Application Deadline: February 16th, 2018

Admission Criteria for 6th grade students:

Attention: Testing for incoming 6th grade honors applicants who have met deadline requirements will take place Tuesday February 20th from 5:30 - 7:30pm at Harris Middle School and February 24th at 8:00 - 10:00 am at Harris Middle School. Please choose one of these times to test. Please use the front entrance.

Notifications for acceptance will be sent out the week of March 5th, 2018. The deadline to notify the school of intent will be March 16th, 2018.

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 2017-2018: ______________________________ Teacher(s): ___________________

 

Proposed Grade for 2018-19 ____________   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 Harris Middle School for the 2018-2019 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 application by February 16th, 2018, to Harris Middle School.  Applications can be submitted in person at Harris Middle School or via mail at the address listed below: 

watsonn@bedfordk12tn.net 

Harris Middle School

570 Eagle Blvd.

Shelbyville, TN 37160