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Credit/Audit Courses, Session 1: May 31 (Tues) - June 15, 2016 (Monday—Friday) Credit/Audit Courses, Session 2: June 16 - July 1, 2016 (Monday—Friday) Sports & Title I Courses: June 6 — June 30, 2016 (Monday—Thursday) Registration Options Director—Dr. Paul McElligott e-Mail[email protected] Phone—480-664-5573 (through May) 480-664-5513 or –5531 (during Summer School) 2016 Summer School Brochure Walk-In Time: 4:00—6:00pm FHUSD High School Office Dates: Thursdays Apr 28, May 12, May 26 ~Cash/Check Only~ Drop-Off Drop-off registrations and payment at any FHUSD School Office ~Cash/Check Only~ On-Line Register anytime at www.fhusd.org (Select Summer School button on the webpage) ~Credit Card Only~
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Page 1: 2016 Summer School Brochure - Amazon Web Servicestoolbox1.s3-website-us-west-2.amazonaws.com/site... · All courses located on the Fountain Hills High School campus at 16100 Palisades

Credit/Audit Courses, Session 1: May 31 (Tues) - June 15, 2016 (Monday—Friday)

Credit/Audit Courses, Session 2: June 16 - July 1, 2016 (Monday—Friday)

Sports & Title I Courses: June 6 — June 30, 2016 (Monday—Thursday)

Registration Options

Director—Dr. Paul McElligott

e-Mail—[email protected]

Phone—480-664-5573 (through May)

480-664-5513 or –5531 (during Summer School)

2016

Summer

School

Brochure

Walk-In

Time: 4:00—6:00pm

FHUSD High School Office

Dates: Thursdays

Apr 28, May 12, May 26

~Cash/Check Only~

Drop-Off

Drop-off registrations

and payment at

any FHUSD School

Office

~Cash/Check Only~

On-Line

Register anytime at

www.fhusd.org

(Select Summer School

button on the webpage)

~Credit Card Only~

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Registration Information

Registration Costs: MS/HS Sports: $100/course

Pass/Fail Audit of High school Course for Middle School students: $185/course

High School Credit: $185/each session

Take Note: Title I Ticket for Success are by REFERRAL ONLY by the Title I teacher. There is no

registration cost. (See page for information).

There will be No credit remedial courses for Middle School. Parents and students are

encouraged to audit 1st Session of a high school credit course for Pass/Fail. This will

suffice for middle school remedial. (Available 1st Session only).

Payment Process: Credit Card—Register ONLINE at www.fhusd.org

Cash or Check—

Register at one of the walk-in Registration Times listed on the front cover

OR drop off filled Registration Form (back sheet) and check/money in an envelope

to ANY of the school offices or the District Office.

Credit Course Information: High School Credit Courses — NEW!

All courses can be taken for full Credit OR Audit. They are meant to recover cred-

it if previously failed. Please indicate on registration form the desired option.

Any students enrolled in EVIT classes for Fall 2016 may apply for free tuition for

High School Credit Courses (EVIT Scholarship Form Attached)

High School Credit Courses— Changes/Refunds

Course changes can be made up to the first day of class.

Refunds for dropping a course will only be honored by the end of first day of class.

NO REFUNDS will be issued after the first day of class.

Refund requests must be submitted in writing with a parent signature or in person

by the deadline day.

NO REFUNDS will be issued for a course dropped due to excessive absences.

MS/HS Sports (Non-Credit) Courses— Changes/Refunds

Course changes can be made, up through the first day Monday, June 6, 2016

Refunds for dropping a course will only be honored by the end of June 6th and re-

quests must be submitted in writing with parent signature or in person.

NO REFUNDS will be issued after June 6th.

Please allow 4+ weeks for processing of approved refunds.

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Attendance Policy— Credit Courses Only Because of the compressed schedules, we DO NOT EXCUSE ABSENCES!

Up to 30 minutes late = 1/4 Day Absent

Absent 1 Day = On Probation

Absent 2 Days = Drop from Course

A drop from the course will result in NO CREDIT and NO REFUND.

Audit students will be dropped after 2 absences. NO REFUNDS.

Please check your schedules prior to registering for a credit course so that the student will not miss any classes.

SUMMER SCHOOL COURSE OVERVIEW All courses located on the Fountain Hills High School campus at

16100 Palisades Blvd.

Title I Courses (Non-Credit)

MS / HS Sports Courses (Non-Credit)

Middle School Academic Audit of High School Courses

High School Academic Courses (Credit & Credit Recovery)

Monday—Thursday

June 6—June 30, 2016

Each course meets for 1-1/2 or 2 hours each day. See schedule for times. Title I courses have no cost and enrollment is approved by the teacher directly .

MS/HS Sports Cost: $100/course

Monday—Friday

May 31 (Tues)—June 15, 2016

Each course meets for 6 hours each day (7:30am—1:30pm). This will suffice

for Middle School Remedial courses and give middle school students exposure

to high school courses. Session 1 only. Lunch ~ 11:30-12:00 ~ Brown Bag

Cost: $185

Monday—Friday

Session 1: May 31 (Tues)—June 15, 2016

Session 2: June 16—July 1st, 2016

7:30am—1:30pm Lunch ~ 11:30—12:00 ~ Brown Bag

Cost: $185/Each Session

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SUMMER SCHOOL 2016 COURSE LISTING

SPORTS COURSES, HS & MS (Non-Credit)

PAGE COURSE TITLE CLASS TIME GRADE(S) TEACHER LOCATION DAYS

Girls Basketball - High School 206 8:00 - 10:00 9th - 12th Baca, A Big Gym M,T,W

Coed Volleyball - Middle School 226 8:00 - 10:00 4th - 8th Talarida, S Small Gym M,T,W

Softball 204 8:00 - 10:00 7th - 12th Kramer, S Practice Field T,W,Th

Falcon Football (Coed) 101 8:00 - 9:30 6th - 12th Flynn, J Football Field M-Th

Weight Training (Coed) 125 9:30 - 11:00 6th - 12th Flynn, J Weight Room M-Th

Coed Basketball - Middle School 313 10:00 - 12:00 5th - 8th Baca, A Small Gym M,T,W

Girls Volleyball - High School 103 10:00 - 12:00 9th - 12th McGloin, P Big Gym M,T,W

Coed Sampler - Middle School 300 12:00 - 2:00 5th - 8th Schultz , P Small Gym M,T,W

Boys Basketball - High School 201 1:00 - 2:30 9th - 12th Weber, B Big Gym M-Th

Coed Soccer Conditioning - HS 232 3:00 - 4:30 9th - 12th Pugliano, M Small Gym M-Th

TITLE I COURSES (Non-Credit) - Enrollment only through Title 1 teacher

PAGE COURSE TITLE CLASS TIME GRADE(S) TEACHER LOCATION DAYS

Ticket for Success - Title I ** 8:00-9:25 2nd - 3rd Axtell, C M-Th

Ticket for Success - Title I ** 8:00-9:25 K Cundiff, L M-Th

Ticket for Success - Title I ** 9:30-11:00 1st Cundiff, L M-Th

Ticket for Success - Title I ** 9:30-11:00 4th - 8th Axtell, C M-Th

HIGH SCHOOL ACADEMIC COURSES (Credit or Credit Recovery) & MIDDLE SCHOOL AUDIT

PAGE COURSE TITLE CLASS TIME GRADE(S) TEACHER LOCATION DAYS

# English (1st Session) CRE605 7:30-1:30 9th-12th Sunshine, J M-F

English (2nd Session) CRE615 7:30-1:30 9th-12th Sunshine, J M-F

U.S. History (1st Session) CRE603 7:30-1:30 10th-12th Pugliano, M M-F

U.S. History (2nd Session) CRE613 7:30-1:30 10th-12th Pugliano, M M-F

World History (1st Session) CRE624 7:30-1:30 10th-12th Pugliano, M M-F

World History (2nd Session) CRE634 7:30-1:30 10th-12th Pugliano, M M-F

U.S. Government (1st Session) CRE602 7:30-1:30 11th-12th Pugliano, M M-F

Economics/Free Ent (2nd Session) CRE612 7:30-1:30 11th-12th Pugliano, M M-F

# Algebra 1 (1st Session) CRE601 7:30-1:30 9th-12th Barsema, C M-F

Algebra 1 (2nd Session) CRE611 7:30-1:30 9th-12th Barsema, C M-F

Geometry (1st Session) CRE607 7:30-1:30 9th-12th Barsema, C M-F

Geometry (2nd Session) CRE617 7:30-1:30 9th-12th Barsema, C M-F

Algebra II(1st Session) CRE623 7:30-1:30 12th Barsema, C M-F

Algebra II (2nd Session) CRE633 7:30-1:30 12th Barsema, C M-F

Advanced Algebra (1st Session) CRE635 7:30-1:30 12th Barsema, C M-F

Advanced Algebra (2nd Session) CRE636 7:30-1:30 12th Barsema, C M-F

# Biology (1st Session) CRE 651 7:30-1:30 9th-12th Neaton, A M-F

Biology (2nd Session) CRE 661 7:30-1:30 9th-12th Neaton, A M-F

Chemistry (1st Session) CRE 653 7:30-1:30 9th-12th Neaton, A M-F

Chemistry (2nd Session) CRE 663 7:30-1:30 9th-12th Neaton, A M-F

Physics (1st Session) CRE 652 7:30-1:30 9th-12th Neaton, A M-F

Physics (2nd Session) CRE662 7:30-1:30 9th-12th Neaton, A M-F

# Recommended for Middle School Remedial audit course

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SOFTBALL—MS/HS CLASS# 204 The summer school softball program introduces ground level mechanics to playing the game. It also incorporates proper player positioning, strategy, rules, scoring, and terminology.

Time: 8:00—10:00 am

Days: Tues, Wed, Thurs

Grades: 7th—12th

Location: Practice Field

Teacher: S. Kramer

COED BASKETBALL—Middle School CLASS# 313 Learn basic fundamentals, rules, and offensive and de-fensive aspects of the game. Drills will cover ball han-dling, shooting, passing, defensive stance, help defense, rotation of both man and zone defense, and offensive sets. Tournament games will be played the last week of class.

Time: 10:00—12:00 noon

Days: Mon, Tues, Wed

Grades: 5th-8th

Location: Small Gym

Teacher: A. Baca

WEIGHT TRAINING (COED)—MS/HS CLASS# 125 Class for both beginning and advanced lifters. Each stu-dent will lift weights either on the bigger, stronger, faster program or on a program the athlete has developed on his/her own. Each participant will be measured at the beginning and end of the session.

Time: 9:30—11:00 am

Days: Mon—Thurs

Grades: 6th—9th

Location: Weight Room

Teacher: J. Flynn

FALCON FOOTBALL (COED)—MS/HS CLASS# 101 This class will teach the basic fundamentals of football including catching, throwing, pass routes, defending, and blocking. The class will end in an ultimate football game each day.

Time: 8:00-9:30 am

Days: Mon—Thurs

Grades: 6th—12th

Location: Football Field

Teacher: J. Flynn

COED SPORTS SAMPLER CLASS# 300 Sports sampler will introduce students to a variety of sports including Lacrosse, Rookie Rugby, Tennis, Futs-bol, and others. Students will also participate in speed and agility drills and include muscle strengthening.

Time: 12:00—2:00 pm

Days: Mon, Tues, Wed

Grades: 5th - 8th

Location: Small Gym

Teacher: P. Schultz

SPORTS COURSES Non-Credit 4th-12th Monday—Thursday June 6—June 30, 2016

GIRLS BASKETBALL—High School CLASS# 206 Build on basic fundamentals and knowledge. Drills on ball handling, shooting, passing, defensive stance, help defense, rotation of both man and zone defense, zone and man press, offensive sets, and press break offense. Scrimmages will occur daily to implement knowledge of the topics covered.

Time: 8:00—10:00 am

Days: Mon, Tues, Wed

Grades: 9th—12th

Location: Big Gym

Teacher: A. Baca

COED VOLLEYBALL—Middle School CLASS# 226 This class is for beginning and intermediate volleyball players, boys and girls. This class will focus on the ba-sics of bumping, setting, serving, spiking and game strat-egies. Players will get to work on skills individually and in small groups and in small matches.

Time: 8:00—10:00 am

Days: Mon, Tues, Wed

Grades: 4th- 8th

Location: Small Gym

Teacher: S Talarida

GIRLS VOLLEYBALL—High School CLASS#103 This class will cover both individual and team volleyball skills such as passing, setting, spiking, blocking, and serving as well as team offense and defense. Class ac-tivities will include individual and small group drills as well as team scrimmages.

Time: 10:00—12:00 noon

Days: Mon, Tues, Wed

Grades: 9th - 12th

Location: Big Gym

Teacher: P. McGloin

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ENGLISH* This course will cover curriculum concepts from the ap-propriate grade level. The course is recommended for EVIT students or students who need to recover lost English credits.

1st Session# (0.5 credit) Class# CRE 605

2nd Session (0.5 credit) Class# CRE 615

Time: 7:30-1:30 (Breaks included)

Grades: 9th—12th

Location:

Teacher: J. Sunshine

*Please indicate on registration form which year/semester

is needed.

#1st Session English is a recommended course for Middle

School Remedial audit.

TICKET FOR SUCCESS!* (Referral required)

Title I Reading Skill-Building Program This class provides students the opportunity to review the fundamentals and boost their confidence levels. Grammar, vocabulary, comprehension, reading fluency, and writing concepts will be the focus.

Time: 8:00—9:25 am Grades: K only Time: 8:00—9:25 am Grades: 2nd—3rd

Time: 9:30—11:00 am Grades: 1st only Time: 9:30—11:00 am Grades: 4th—8th

Location: Location:

Teacher: L. Cundiff Teacher: C. Axtell

*Students must register with the Title I teacher. There is NO COST for this program.

TITLE 1—TICKET FOR SUCCESS (Teacher Referral Required; Sign-Up at School) Non-Credit K-8th Monday—Thursday June 6—June 30, 2016

SPORTS COURSES Non-Credit 9th-12th Monday—Thursday June 6—June 30, 2016

COED SOCCER CONDITIONING—HS Class# 232 For beginning and intermediate soccer players, focusing on the basics of dribbling, trapping, shooting, passing as well as team offense, defense and game strategies. Play-ers will get to work on skills individually and in small games/scrimmages. Focus on teamwork.

Time: 3:00—4:30 pm

Days: Mon—Thurs

Grades: 9th—12th

Location: Small Gym, Field

Teacher: M Pugliano

BOYS BASKETBALL—High School CLASS# 201 Build on basic fundamentals and knowledge. Drills on ball handling, shooting, passing, defensive stance, help defense, rotation of both man and zone defense, zone and man press, offensive sets, and press break offense. Scrimmages will occur daily to imple-ment knowledge of the topics covered.

Time: 1:00—2:30 pm

Days: Mon—Thurs

Grades: 9th—12th

Location: Big Gym

Teacher: B Weber

HIGH SCHOOL ACADEMIC COURSES Credit 9th-12th Monday—Friday Session 1: May 31st (Tues) - June 15, 2016

1 Session = 1 Semester = 0.5 credit 7:30-1:30 Session 2: June 16 - July 1, 2016

U.S. HISTORY This course is designed to cover the major people, events and trends that shaped the history of the United States. The 1st semester covers the period from the first settlers to World War I. The second semester covers the period from the Roaring 20’s to the present. This course is rec-ommended for EVIT students, Special Education stu-dents, students not planning to major in Social Studies in college, or students who need to recover lost credit.

1st Session (0.5 credit) Class# CRE 603

2nd Session (0.5 credit) Class# CRE 613

Time: 7:30-1:30 (Breaks included)

Grades: 10th—12th

Location:

Teacher: M. Pugliano

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HIGH SCHOOL ACADEMIC COURSES Credit 9th-12th Monday—Friday Session 1: May 31st (Tues) - June 15, 2016

1 Session = 1 Semester = 0.5 credit 7:30-1:30 Session 2: June 16 - July 1, 2016

WORLD HISTORY This course is an independent study course designed to help students who struggle with the regular year-long World History class, who need to take summer classes to accommodate their EVIT schedule, or who need to recov-er lost credit. The 1st semester covers the period from Prehistoric Man to European Imperialism. The second semester covers the period from the Twentieth Century Crisis to Global Civilization. Assignments/assessments will be tailored to the students enrolled.

1st Session (0.5 credit) Class# CRE 624

2nd Session (0.5 credit) Class# CRE 634

Time: 7:30-1:30 (Breaks included)

Grades: 10th—12th

Location:

Teacher: M. Pugliano

U.S. GOVERNMENT Class# CRE 602 This course is designed to introduce students to the prin-ciples and structure of the federal government. Content will include the philosophy of democratic government, political parties, civil liberties, and the electoral system. This course includes the study of Arizona’s governmental system. Recommended for EVIT students or students who need to recover lost U.S. Government credit.

1st Session (0.5 credit)

Time: 7:30-1:30 (Breaks included)

Grades: 11th—12th

Location:

Teacher: M. Pugliano

ECONOMICS/FREE ENTERPRISE Class# CRE 612 This course is designed to introduce students to the prin-ciples of economics and the free enterprise system. Con-tent will include the study of the American economic sys-tem and its impact on the decisions made by individuals and families. Recommended for EVIT students or stu-dents who need to recover lost Economics credit.

2nd Session (0.5 credit)

Time: 7:30-1:30 (Breaks included)

Grades: 11th—12th

Location:

Teacher: M. Pugliano

ALGEBRA 1 This course is designed to introduce students to abstract thinking and problem solving. First session includes eval-uating algebraic expressions, solving one & two variable equations, solving systems of linear equations, absolute value equations, and exploring statistical data. Second session includes exponential laws, scientific notation, gra-phing, evaluating & solving quadratic functions, using di-rect & inverse variation, evaluating algebraic fractions, evaluating polynomial expressions, and determining odds & probability. Recommended for EVIT students or stu-dents who need to recover Algebra I credit.

Daily homework is required of all students!

1st Session# (0.5 credit) Class# CRE 601

2nd Session (0.5 credit) Class# CRE 611

Time: 7:30-1:30 (Breaks included)

Grades: 9th-12th

Location:

Teacher: C. Barsema

#1st Session Algebra I is a recommended course for Middle

School Remedial audit.

GEOMETRY This course is designed to develop logical thinking skills. Content includes classifying and identifying properties of quadrilaterals & triangles; transforming geometric shapes by reflection; drawing lines of symmetry; determining slope; using Pythagorean theorem; solving right triangles and using trigonometric functions; solving coordinate ge-ometry problems; using various area and volume formu-las; identifying conic & cylindrical solids, classifying parts; & writing triangle congruence proofs. Recommended for EVIT students or students who need to recover Geometry credit. Daily homework is required for all students!

1st Session (0.5 credit) Class# CRE 607

2nd Session (0.5 credit) Class# CRE 617

Time: 7:30-1:30 (Breaks included)

Grades: 9th—12th

Location:

Teacher: C. Barsema

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HIGH SCHOOL ACADEMIC COURSES Credit 9th-12th Monday—Friday Session 1: May 31st (Tues) - June 15, 2016

1 Session = 1 Semester = 0.5 credit 7:30-1:30 Session 2: June 16 - July 1, 2016

ADVANCED ALGEBRA This course is designed to prepare students for universi-ty courses, so it is assumed students selecting this course have a solid knowledge of core Algebra II con-cepts including linear and quadratic equations and solv-ing and graphing techniques. The course stresses the inter-relationship between Algebra, Trigonometry and Statistics using a focus of the function. This will prepare the student for Pre-Calculus. Topics include data, func-tions and models, transformations, types of functions, circular functions, probability and simulation, sequences and series, polynomials, binomial and normal distribu-tions, matrices, quadratic relations, application of Trigo-nometry. Graphing calculators are used frequently in this class as they are in most college math courses.

Daily homework is required of all students!

1st Session (0.5 credit) Class# CRE 635

2nd Session (0.5 credit) Class# CRE 636

Time: 7:30-1:30 (Breaks included)

Grades: 9th—12th

Location:

Teacher: C. Barsema

ALGREBRA II Content includes graphing and solving various types of equations including linear, quadratic, cubic, square root, exponential and logarithmic and rational. We will also do trigonometry with right triangles, points and circles. This course can only be taken for credit recovery or to get a better grade. You can only take this course if you passed Algebra II or Algebra II concepts.

Daily homework is required of all students!

1st Session (0.5 credit) Class# CRE 623

2nd Session (0.5 credit) Class# CRE 633

Time: 7:30-1:30 (Breaks included)

Grades: 9th—12th

Location:

Teacher: C. Barsema

BIOLOGY A practical life sciences course which explores the living world through traditional lecture, lab, nature collection, guided reading, science writing and analysis of data, group work time, and several projects. Students will learn about macromolecules, cells, Arizona wildlife, essential genetics, classification, botany and zoology.

1st Session# (0.5 credit) Class# CRE 651

2nd Session (0.5 credit) Class# CRE 661

Time: 7:30-1:30 (Breaks included)

Grades: 1-th—12th

Location:

Teacher: A Neaton

#1st Session Biology is a recommended course for Middle

School Remedial audit.

CHEMISTRY This course is designed to give students an introduction to the periodic table, energy, reactions and properties. This course is recommended for EVIT students, Special Education students, students not planning to major in science in college, or students who need to recover lost credit.

1st Session (0.5 credit) Class# CRE 653

2nd Session (0.5 credit) Class# CRE 663

Time: 7:30-1:30 (Breaks included)

Grades: 10th—12th

Location:

Teacher: A. Neaton

PHYSICS This course is designed to give students an introduction to graphics, motion, energy and acceleration. This course is recommended for EVIT students, Special Education students, students not planning to major in science in college, or students who need to recover lost credit.

1st Session (0.5 credit) Class# CRE 652

2nd Session (0.5 credit) Class# CRE 662

Time: 7:30-1:30 (Breaks included)

Grades: 10th—12th

Location:

Teacher: A Neaton

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Registration Date: ____/____/____

STUDENT Grade

LAST NAME ________________________FIRST NAME _____________________Age _______Next Year_______

Parent Name ________________________________________________________________________

Mailing Address _____________________________________________________________________

E-Mail _____________________________________________________________________________

Day Contact: Home/Work Phone (____) ______-__________ Cell Phone (____) ______-___________

Emergency Contact _____________________________________ Phone (____) ______-___________

Health Concerns _____________________________________________________________________

*For High School English credit course, please specify year/semester needed TOTAL COST $ ____________ Eng 9 Eng 10-Oral Eng 10-Writing Eng 11 Eng 12 (Make checks out to “FHUSD”)

ATTENDANCE/TARDY POLICY – CREDIT/CREDIT RECOVERY COURSES

OFFICE USE ONLY

Date Paid _______/______/_______ Receipt # __________________ Amount Paid $ ________________

Online Registration Cash Check # __________________

Comments ________________________________________________________________________________________________

_________________________________________________________________________________________________________

COURSE REGISTRATION Check only if applicable

CLASS#

COURSE TITLE*

COURSE COST

Credit?

Credit Recovery?

EVIT Student?

MS Student Audit?

$

$

$

$

Total $

1 Day Absent = On Probation Up to 30 minutes late = ¼ Day absent

2 Days Absent = Lose Credit and No Refund 31 min. to 2 hours late = ½ Day absent

Summer School does not grant excused absences! Over 2 hours late = 1 Day absent

Session 1 – Late/Absent Session 2 – Late/Absent

2016 Summer School Program Fountain Hills Unified

REGISTRATION FORM School District #98

(Please complete separate form for each student)

Registration forms can be emailed to [email protected]

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Student Name: ________________________________ Date of Birth: _________________Grade (2015-16 school year): ________

Address: ____________________________________ City: __________________ State: _______________ Zip: _________

Phone Number: __________________________ E-mail Address: _______________________________________________

Parent/Guardian Name: _______________________________ Parent/Guardian Phone Number: _______________________

Home School: ______________________ School District: _____________________ Home High School ID#: ___________

High School Counselor Signature: ________________________________________________________________________

Please list course name, session you plan to attend (example: June, July, AM or PM, etc) and whether the

course is online or in the classroom:

Summer 2016 – Summer School Course(s)

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Summer Registration Fee per session: _____________________ Total scholarship amount: _____________________

EVIT Program you will be attending in Fall 2016: _______________________________________________________

East Valley Institute of Technology will directly pay participating school districts approved Summer 2016 fees for courses

needed for students to graduate and receive a high school diploma. As funds for this program are limited, students will be grant-

ed the scholarship on a first-come, first-served basis. To guarantee timely payment, this application must be submitted by April

29, 2016.

If student fails the course or does not attend EVIT in the fall, student and/or parent will be responsible for reimbursing

EVIT for all Summer School fees paid.

Signature of parent/guardian or adult/emancipated student: _______________________________ Date: ________________

Revised 4/11/16

EVIT Summer School Scholarship Application

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Request Date: ____/____/____

STUDENT

LAST NAME ______________________________________FIRST NAME _________________________________

Parent Name ____________________________________________________________________________________

Mailing Address _________________________________________________________________________________

E-Mail _________________________________________________________________________________________

Home phone (____) _____-_________ Work phone (____) _____-__________ Cell phone (____) _____-__________

COURSE REGISTRATION

Class # _____ Class name _____________________________ Fee $_______

Class # _____ Class name _____________________________ Fee $_______

Class # _____ Class name _____________________________ Fee $ _______

Class # _____ Class name _____________________________ Fee $ _______

Total Course Cost $ _______

Scholarships will be offered based on the following criteria:

Identified need (priority given to students qualifying for Free & Reduced Lunch)

Timeliness of Scholarship request

Type of course (some funding dollars are allocated only towards credit courses)

Available funding

OFFICE USE ONLY

Scholarship Approved Partial Scholarship Approved

Date Allocated _______/______/_______ Scholarship Amount Paid $ ________.____

Comments _______________________________________________________________________________________________

________________________________________________________________________________________________________

Scholarship

Amount Request

$___________

2016 Summer School Program Fountain Hills Unified

SCHOLARSHIP REQUEST FORM School District #98

(Please complete separate form for each student)

Scholarship Request forms can be emailed to [email protected]


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