Middlesex CountyAcademy for Allied Health and Biomedical
Sciences
Application for
Admission
Mailing Address:1 Convery Blvd Woodbridge, New Jersey 07095
Phone: 732-634 5858 Fax: 732-634-7073 Website: http://www.mcvts.net
Application Due Date: November 20, 2019
APPLICATION INSTRUCTIONS
PAGE 1 - APPLICANT & PARENT INSTRUCTIONS
complete the identification information and obtain parent/guardian signature in PART I
complete the essay in the space provided, sign and date in PART II give to Middle School counselor Please do NOT include any additional documents (certificates, letters of
recommendation, etc.) Only required documents will be considered.
PAGE 2 - MIDDLE SCHOOL COUNSELOR INSTRUCTIONS
complete the REC’D ON section in the top right corner complete the school and contact information in PART I attach the required documents in PART II complete the Counselor/Administrator Signature section in PART III mail the application to the Academy
***The application deadline is WEDNESDAY, NOVEMBER 20, 2019. All applications must be POSTMARKED by November 20, 2019. Late applications will not be considered.***
ALL APPLICATIONS MUST BE MAILED OR DELIVERED TO THE APPROPRIATE ACADEMY:
The Middlesex County Academy for Allied Health and Biomedical Sciences1 Convery Boulevard
Woodbridge, NJ 07095Attn: Guidance
ADMISSIONS
APPLICATION PROCESS1. Complete the Student Application Form and submit to your Middle School
Counselor.2. Applications must have a POSTMARK DATE of NOVEMBER 20, 2019.3. Attend mandatory Admissions Information Session (12/2 or 12/3 as assigned)4. Take Academy Entrance Exam.5. Attend a personal interview. Prospective students and their parent/guardian are
required to attend a personal interview.
ACCEPTANCE CRITERIA1. Completion of Algebra 1, minimally, by the end of the 8th grade. 2. Excellent standardized test scores.3. Strong 7th grade report card.4. Strong 8th grade MP 1 grades.5. Positive attendance record.6. Positive discipline record.7. High interest and aptitude for Allied Health and Biomedical Science focus.
STUDENT ACCEPTANCE1. All applicants qualifying for an interview will be contacted to schedule the
interview. 2. After all interviews are complete, students will be notified by letter regarding
their admission status. 3. Academic placement in our Academy Program is based on grades, standardized
test scores, entrance exam, and personal interview.
PAGE 1 – STUDENT & PARENT PAGE
STATEMENT OF NON-DISCRIMINATIONState and federal statutes and regulations prohibit school districts from discriminatory practices in employment or vocational education opportunities against any person by reason of race, color, creed, religion, sex, ancestry, national origin, age, English proficiency, sexual preference, marital status or veteran status. Further, state and federal protection is extended on account of disabilities, social or economic status, pregnancy, childbirth, pregnancy related disabilities, actual or potential parenthood, or family status and other applicable laws. Further information regarding these policies can be obtained from the 504 Compliance Officer, Mr. Francis Cap and/or the Affirmative Action Officer (Phone 732-257-3300).
Part I –Student/Parent Information
Last Name First Name Middle Initial
Street Address Town Zip
(_____)_____________________ _________ ________________________
Home Phone Date of Birth Age Gender
Father/Step Father/Guardian:
Last Name First Name Cell Phone
________________________________________ (_____)____________________
Mother/Step Mother/Guardian:
_______________________________________ (_____)_____________________
Last Name First Name Cell Phone
Preferred Parent Email: ______________________
Student Email: __________________________
_________________________________________________________________
Parent/Guardian Signature Date
The above signed gives permission for the release of all above applicant’s school records to Middlesex County Vocational Technical Schools Media Release: The above-signed gives his/her permission to use the students name, interview, survey responses, video clip and photograph for public purposes on all types of media and marketing materials.
Application Due Date: November 20, 2019
Part II Essay
Applicant: In your own handwriting, use this space to briefly describe why you would like to attend the Academy.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Applicant’s Signature Date
Application Due Date: November 20, 2019
REC’D ON_________PAGE 2 – COUNSELOR PAGE
Part I – School/Contact Information
APPLICANT NAME ______________________________________________________
Current School Current Grade
________________________________________________________________________Student’s PUBLIC SCHOOL District Contact Person Phone Number
Part II – Required Documents
The following documents are required for the application to be considered complete. Please attach these documents to the application.
_______ 7th grade final report card
_______ 7th grade Standardized Test Score report (scores for ELA and Math)
_______ 8th grade MP 1 grades
_______ Student attendance record
_______ Student discipline record
Please circle the best description for this student’s 8th grade math course:
Alg.1 Geometry Alg. 2
Please note: students who are in pre-algebra or math 8 are not eligible for admissions.
Part III- Signature
I am aware that the entire page must be completed by the school counselor/principal in order for the application to be processed. The application WILL NOT be processed if the required documents are not attached.
I attest that I have attached the required documents as requested.
Attached are the Official School Copies of the requested required documents.
________________________________________________________________________Principal/Counselor Signature Phone Date
Official Use Only
Middle School Office Received Date: __________________________ Academy Office Received Date: __________________________
Application due dateNOVEMBER 20, 2019