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SELECTIVE ENROLLMENT HIGH SCHOOLS/MILITARY ACADEMIES APPLICATION 2015-2016 School Year Please read directions on opposite side. Deadline - Friday, December 12, 2014 6831 Student's Last Name Student's First Name Does your child have an IEP? Grade in Gender: Yes No Fall 2015: (If non-CPS, LEAVE BLANK) Male CPS Student ID Birth Date (MM/DD/YYYY) Does your child have a 504 Plan? Yes No 9 Female / / If yes for IEP or 504, please see reverse. Please indicate whether or not your child is Hispanic/Latino and his/her race. For informational use only. Is your child Hispanic/Latino? Race (choose one or more) Yes No White Black/African-American American Indian/Alaska Native Asian Native Hawaiian/Other Pacific Islander Parent/Guardian Last Name Parent/Guardian First Name Student's Primary Address Direction Street Name (P.O. Boxes not accepted) Street Type Apt# City State Zip Code Student's Current School (8th grade) Parent/Guardian Email Address - CAPITAL letters only. Write number 1, letter I, letter L, letter O and number Ø. Primary Phone Secondary Phone - - - - SELECTIVE ENROLLMENT HIGH SCHOOLS MILITARY ACADEMIES RANK UP TO 6 CHOICES 123456 RANK UP TO 4 CHOICES 1234 Brooks College Prep Air Force Academy Hancock College Prep* Carver Military Academy Jones College Prep Chicago Military Academy King College Prep Marine Leadership Academy at Ames Lane Technical Phoenix Military Academy Lindblom Math & Science Rickover Naval Academy Northside College Prep Marine Math and Science Academy Payton College Prep South Shore Int'l College Prep MILITARY ACADEMY INFORMATION SESSIONS: REQUIRED Applicants must attend an Information Session at one of the CPS Westinghouse College Prep Military Academies. For a listing of the session dates and times, Whitney Young Magnet visit www.ChicagoJROTC.com or contact schools directly. Please see reverse for more details regarding these sessions. SELECTIVE ENROLLMENT TEST SITES SELECTIVE ENROLLMENT TEST DATES Select one site where you would Select the date(s) on which your like your child to test. Choice of child will NOT be able to test. We PARENT AFFIRMATION - PLEASE READ AND SIGN site does not affect selection. reserve the right to assign students I affirm that the information provided on this form is true and correct. I affirm and to alternate sites and/or dates. understand that the address provided on this form is my child's primary address and may be used for assigning a tier in the student assignment process. I King - 4445 S. Drexel Blvd. Oct. 25, 2014 Jan. 10, 2015 understand that I will have to provide proof of this address at the time of enrollment, and that the validity of my child's application is dependent on that proof. I Nov. 22, 2014 Jan. 24, 2015 Lane Tech - 2501 W. Addison St. understand that this application does not guarantee acceptance into any selective Dec. 13, 2014 enrollment high school or military academy. I consent for my child to be tested and/or screened for the admissions process and for the results to be shared among Lindblom - 6130 S. Wolcott Ave. Is your child taking the all the selective enrollment high schools or military academies. I understand that an Catholic Schools test? incomplete application will not be accepted. I understand that my child may be subject to immediate removal from a selective enrollment high school/military Yes No Young - 211 S. Laflin St. academy if admission was gained based on a falsified application. Signature of Parent/Guardian - REQUIRED *This school will be considered for board approval in October 2014. FOR OFFICE USE ONLY DIRECTIONS FOR COMPLETING SELECTIVE ENROLLMENT HIGH SCHOOLS (SEHS) AND MILITARY ACADEMIES APPLICATION We encourage you to apply online at www.apply.cps.edu. If you prefer a paper application, complete the application on the reverse side. Do not submit both. The completed application MUST be mailed or hand-delivered to the Office of Access and Enrollment, Attn: SEHS/MA Application, 125 S. Clark St., 10th floor, Chicago, IL 60603. DO NOT SEND YOUR APPLICATION TO THE SCHOOL(S) TO WHICH YOU ARE APPLYING. Processing cannot be guaranteed for applications that are not submitted to the Office of Access and Enrollment. Mailed applications must be postmarked by December 12, 2014. If you include a valid email address on the application, you will receive an email confirmation once your application has been processed. If you mail your application, you are strongly encouraged to: (1) have a postal official postmark your envelope in front of you, (2) send your application via registered or certified mail so that you will have a receipt, and (3) include a self-addressed, stamped postcard/envelope, which will be returned to you to indicate that your application has been received. If you do not receive your postcard/envelope within two weeks of mailing, contact OAE at (773) 553-2060. Retain all receipts until the end of the application season as proof that your application was submitted. SELECTIVE ENROLLMENT HIGH SCHOOL ADMISSION REQUIREMENTS: Testing is required. Testing eligibility will be based on the student’s NWEA MAP scores in reading and math. NOTE that non-CPS students who have not taken the NWEA MAP administered by CPS must register for this test by December 12, 2014, in order to be considered for the Selective Enrollment High Schools. To register, go to www.cpsoae.org and print the registration form located under ‘NEWS.’ In order to be eligible for testing, general education students and students with a 504 Plan must score at the 24th percentile or above in reading and math. Students with an IEP and students receiving bilingual education services must have reading and math percentiles that equal 48 or more (e.g., 21 in reading, 27 in math) in order to be eligible for testing. No exceptions will be made for students who do not possess these minimum percentiles. MILITARY ACADEMY ADMISSION REQUIREMENTS: Eligibility for students to participate in the application process will be based on the student’s NWEA MAP scores in reading and math. NOTE that non-CPS students who have not taken the NWEA MAP administered by CPS must register for this test by December 12, 2014, in order to be considered for the Military Academies. To register, go to www.cpsoae.org and print the registration form located under ‘NEWS.’ In order to be eligible to apply, students must have reading and math percentiles that equal 48 or more (e.g., 21 in reading, 27 in math). Eligible students are required to attend one Information Session, where they will be asked to sign an agreement, take a two-part assessment, and write a brief essay. For a listing of the session dates and times, visit www.ChicagoJROTC.com or contact schools directly. DIRECTIONS: 1. Use blue or black INK only, CAPITAL LETTERS ONLY, do not photocopy, do not staple, and do not allow letters or numbers to touch the lines of the squares. 2. Submit one application per student. If more than one application is received, your child will only be considered for the schools on the first application that is processed by the Office of Access and Enrollment. 3. If your child is currently enrolled in a Chicago public, charter, or contract school, identify his/her CPS ID number on the application. The CPS ID number can be located on your child’s report card, Eligibility Letter, or the Parent Portal (‘Manage Students’), or by contacting your child’s school. If your child is not currently enrolled in a Chicago public, charter, or contract school, leave this section blank. 4. Identify whether or not your child is Hispanic/Latino AND the student’s race. This is for informational purposes only. 5. Indicate your child’s primary address, which is defined as the residence where your child sleeps at night. If you share joint custody and your child sleeps at night at only one residence the majority of the time, then that is the primary address, and that is the address that must be entered on the application. In cases of joint custody where a child’s residence is equally divided between two addresses, either address may be used. 6. If you are applying to Selective Enrollment High Schools, select the site where you want your child to take the test, and identify any dates on which your child will NOT be available for testing. Eligible students will receive a notification letter no later than January 9, 2015, regarding the date, time, and location of their scheduled test. 7. If the student has an IEP or 504 Plan and attends a Chicago public school or charter school, you do NOT need to attach a copy; CPS will access the documentation from the Student Information System. If the student attends a private, parochial or other non-CPS school, and his/her IEP/504 Plan was developed by a public school system outside of Chicago, attach the most recent version of the IEP or 504 Plan to the application. 8. If you change your address after you submit your application, you must submit a Contact Information Modification Form, available at www.cpsoae.org (click ‘Apply’). In order for your new address to be used in the process of determining tiers, your form must be received by the Office of Access and Enrollment by January 16, 2015. 9. If you need to change your school choices, you must submit a Selective Enrollment/Military Academies Application Modification Form, available at www.cpsoae.org (click ‘Apply’). Forms must be received by the Office of Access and Enrollment by January 23, 2015. Checklist: Please check the following to ensure that the application has been completed correctly.

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