,JLJMP START SUMMERS P.GAAM

St. John the Baptist Parish Puhli~ S~hools

•!• SJBP Jump Start Summers program will offer rising juniors and seniors the opportunity to:

./ Earn industry-based credent ial (IBC) in Fundamenta ls of HTML, CSS, and JavaScript Level

1 and Advanced JavaScript Functional Programming and Web Development Level 2 .

./ Earn a Carnegie unit in Java Programming (Operationa l Sparks)

./ Engage in workplace-based learning to pract ice workplace behavior and communication

skills at a local business in St. John the Baptist Parish .

./ Earn a summer wage up to $400 based on attendance, Carnegie unit, internship, and

credential.

•!• Any student that is required to attend Summer School for remediation purposes is NOT eligible

for this program.

•!• Program Classroom Oates and Times: June 3rd-July 3rd; 9:00 am-4:00 pm; Monday-Thursday

(Some Fridays or Sat urdays are required)

•!• Internships/Job Shadowing: A minimum of 15 clock hours is required .

•!• Transportation: Parents/students are required to provide t heir own t ransportation.

•!• Seats are limited and based on certain requirements: Parents/students must email ssmith­

magee@stjohn.kl2.la.us expressing interest and submit SJBP JUMP START forms on or before

May 1st by 4 pm at 118 West 10th Street, Reserve, LA 70084.

•!• SJBP JUMP START forms are available on www.stjohn.k12.la.us. Forms are also available at the

School Board Office at the receptionist's desk, 118 W. 10th Street, Reserve, LA 70084.

•!• Mandatory Parent/Student Meeting: Thursday, May 9, 2019 at 5:30 p.m. at St. John Public

Library, 2920 Highway 51 Laplace, LA 70068.

•!• Contact: Shannon Smith-Magee at 985-479-8135 for additional information.

2nd Annual Jump Start Summers Program 2019

Academic Track Record

Student Recruitment Rubric Operation Spark

The following interests are required for applicants to Operation Spark.

On-Track for Graduation

Attendance

Discipline Record

Interests/Qualities

Student has successful completed all coursework and remediation prep required to be on track for graduation.

Student has demonstrated a positive track record for attendance, missing less than three days per semester.

Student has demonstrated a proven track record for little to no disciplinary infractions. e.g. No suspensions due to fighting, drugs, alcohol, weapons, disrespect towards staff, etc.

The following interests and qualities are not necessary for applicants, but have been indicators of success for past students.

Pattern Recognition Student displays strong pattern recognition skills.

Focus Student focuses on areas of passion, seeking to improve proficiency through practice.

Logic Student displays strong logic and reasoning skills.

Grit Student has demonstrated perseverance through cha llenging projects or activities.

Music Proficiency Student has practiced playing instruments on a consistent basis.

Art and Design Student has demonstrated competency as an artist or designer.

Creative Writ ing Student has demonstrated proficiency as a creative writer.

OPERAT I ON

SPARK>

ST. JOHN THE BAPTIST PUBLIC SCHOOLS Jump Start Summer 2019 Form (Part I)

STUDENT INFORMATION

Last Name First M.I. [OOs

l Street Address Student Age:

City r State ZIP l Phone E-mail Address

Dates June 3rc1 - July 3rd Available Credential Applied for

SIDNO No. Max. Salary that could be Earned

_x_ Fundamentals of HTML, CSS, and JavaScript Ll and/or L2 AND _y._ IC3

carnegie Unit J _x_Java Programming Applied for

Are you a student of the St John Public YES 0 Schools?

Have you passed Algebra I and English I? YES 0

Do you have your own transportation? YES 0

EDUCATION

High School

NO 0 Are you able to complete 15 hrs. of internship off-c.ampus?

NO 0 Have you earned any credentials during H.S ?

NO 0 Was a full time student 2018-2019, full school year.

Principal

From To Attach transcript? YES O NO O l Pathway

Counselor's Name:

REFERENCE

Please llst a parent contacts:

Parent Full Name

Address +

Email

Office Use:

Relationship l Phone

$4-00

YES 0

YES 0

YES D

-

NO 0

NO 0

NO 0

_ Returned Operation Spark application

_ High School Transcript

_ vendor's Application for Stipend

Graduation Year

_ #of days missed 2018-19

_ ESJH or WSJH student

NOTES:

DISCWMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading infonnation in my application or interview may result in my release.

I have submitted/completed the following.

• Vendor's application for stipend

• current Transcript

• Sign employment contract and agreement (Operation Spark)

• (Under 18 years of age) A parent must email the instructor if he/she agree with the program's agreement/contract and internship requirements. Ssmith-magee@st.iQhn.k12.la.us

• (18 years of age and above) Student must email instructor.

Student Signature:

Parent Approval:

Date:

District Approval Signature--------------------Date: --------------

Operation Spark High School Program Application

Name

Grade

1. What other classes are you taking this semester?

2. What extracurriculars are you involved in this semester?

Extracurricular Activities Day of Week and Time

3. What was your favorite class so far in high school, and why?

4. Why are you interested in coding? (1 paragraph)

5. What is your favorite smartphone app? If you were a skilled software developer, what would you add to make it even better? (1 paragraph)

Operation Spark Student Contract

As an Operation Spark student, I understand and agree to the following:

1. I will put in a 100% effort in every class and work hard to complete all assignments by their due

date.

2. I will miss no more than two classes in the semester. If I do need to miss a class, I will email

the counselor or administrator at my school as early as possible, and no later than 3 PM on the

day of class.

3. If I am absent three times, Operation Spark will drop me from the class, and I may face

consequences from my school, which is covering all or part of my tuition.

4. If my counselor and Operation Spark instructor agree that I have fallen behind or need extra

help, I will attend one or more Saturday tutoring sessions offered by Operation Spark.

5. Operation Spark classes are taken for credit, and I will receive a letter grade.

6. Operation Spark is a professional tech workspace. Disrespect toward my instructor or

classmates or disruptions of any kind will not be tolerated. Any serious infraction will result in

being dropped from the class immediately and follow-up through my school's behavior referral

and discipline policies.

Print Your Name

Signature

St. John the Baptist Parish School Board

Patrick H. Sanders Board President

Kevin R. George Super intendent

NEW VENDOR APPLICATION FORM

Sherry Def rancesch Board Vite-President

Please complete this form and the attached W-9 then return both via fax (985-536-1109) or email

(pmontz@stjohn.k12.la.us). Both forms must be filled out completely. ALL FIELDS ARE REQUIRED.

Requested By: S. Smith-Magee

School Board Employee Name

Company name: STUDENT NAME

Remit to address:

Mailing address:

Phone number:

SJBP School Board

School

----------------- ------------ - -------

Fax number: NA _ _ _;_c.....:.... _________________________________ _

Email address: --- ----------------------------------

Website: NA __ ...;..;:-'----------------------- ---------- ----How would you like to receive purchase orders? Fax Email *Disadvantaged Business Enterprise (DBE): _ _ _ _;_N,;;_A-'--- ------------------ -

*Must submit a copy of certifi cate to qualify

St. John the Baptist Parish Occupational License Number: __ N_A ___________ ________ _

I hereby certify that lam in compl iance with all State of Louisiana ethic laws including R.S. 42: 1113

SIGN AND DATE: ------- ----------- ---- ---- --- -

MEMBERS OF THE ST. JOHN THE BAPTIST PARISH SCHOOL BOARD Charo Holden, District 1 Gerald J. Keller, Ph.D., District 3 Sherry DeFrancesch, District 5 Philtip Johnson, District 7 Shawn Wallace, District 9 Clarence Triche, District 11 Albert Burl, District 2 Patrick H. Sanders, District 4 Keith Jones, District 6 Debbie Schum, District 8 Nia Mitchell, District 10

Form W•9 (Rev. October 2018) Department of the Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification

Give Form to the requester. Do not send to the IRS.

• Go to www.irs.gov/FormW9 for instructions and the latest information.

1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

2 Business name/disregarded entity name, if different from above

~ 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

g> following seven boxes. C. C: 0 D lndividuaVsole proprietor or

single-member LLC D C Corporation 0 S Corporation 0 Partnership 0 Trust/estate

Exempt payee code (if any) • II) GI C: ~o ~~ 0 2 c 0 "C.: ~ u

Ii:

D Limited liability company. Enter the lax classification (C=C corporation, S=S corporation, P=Partnership) • - --­

Note: Check the appropriate box in the line above for the lax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Exemption from FATCA reporting

code (if any)

·u O Other (see instructions) • /Applio$to"""""111,ma1nt- -u.. u.s.1 8,_ 1--!::!.......::.:::..:.::~::.::..:::..:.::::.:.::::.:::.::.!... _______________________ "T""::----:-----l-,--,-,----,--,,---::------"' 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional)

l 1.--------------------1 ~ Toh")'th£ ~ls<l-1>. o. u-a~.-At-6 City, state, and ZIP code

~ ~y 7 List account number(s) here (optional)

Taxpayer Identification Number TIN Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities. it is vour emolover identification number /EIN). If vou do not have a number. see How to aet a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

I Employer identification number

Certification Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross outitem 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Here

Signature of U.S. person •

General Instructions Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FonnW9.

Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.

• Form 1099-INT (interest earned or paid)

Cat. No. 10231X

Date •

• Form 1099-DIV (dividends, including those from stocks or mutual funds)

• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)

• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)

• Form 1099-S (proceeds from real estate transactions)

• Form 1099-K (merchant card and third party network transactions)

• Form 1098 {home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)

• Form 1099-C (canceled debt)

• Form 1099-A (acquisition or abandonment of secured property)

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

If you do not return Fonn W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Form W -9 (Rev. 10-2018)