Directions for Completing Selective Enrollment High Schools (Sehs) and Military Academies Application

DIRECTIONS FOR COMPLETING SELECTIVE ENROLLMENT HIGH SCHOOLS (SEHS) AND MILITARY ACADEMIES APPLICATION

We encourage you to apply online at www.apply.cps.edu. Applying online provides an immediate response that your application has been received. If you prefer a paper application, complete the application on the reverse side. Do not submit both. The completed application MUST be submitted to the Office of Academic Enhancement, Attn: SEHS Application, 125 S. Clark St., 4th 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 Academic Enhancement. Applications must be postmarked by December 16, 2011. You will receive an email confirmation once your application has been processed. If you do not have an e-mail address, you may enclose a self-addressed, stamped postcard/envelope with your application. The postcard/envelope will be returned to you to indicate that your application has been received.

SEHS TEST ELIGIBILITY REQUIREMENTS Testing eligibility for students will be based on the student’s 2010-2011 ISAT scores in reading comprehension and total math or, if the student did not take the ISAT, on a different nationally normed test (e.g., ITBS, Terra Nova, etc.). In order to be eligible for testing, students must have achieved a minimum stanine of five in reading comprehension and a minimum stanine of five in total math. No exceptions will be made for students who do not possess these minimum stanines. Students with an IEP or a 504 Plan and students in bilingual programs must have achieved reading comprehension and total math scores that equal at least 10 (e.g., 3 and 7; 4 and 6) in order to take the admission examination.

MILITARY ACADEMIES INTERVIEW REQUIREMENTS Eligibility for students to participate in the admission interview and/or assessment process will be based on the student’s 2010-2011 ISAT scores in reading comprehension and total math or, if the student did not take the ISAT, on a different nationally normed test (e.g., ITBS, Terra Nova, etc.). In order to be eligible for testing, students must have achieved reading comprehension and total math stanines that equal at least 10 (e.g., 3 and 7; 4 and 6).

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. If your child is currently enrolled in a Chicago public school, identify his/her Student ID number on the application. (The Student ID number can be found on your child’s report card or can be obtained by contacting your child’s school.) If your child is not currently enrolled in a Chicago public school, leave this section blank.

3. Identify whether or not your child is Hispanic/Latino AND your child’s race. This is for informational purposes only.

4. If your child attended a Chicago public school in the 2010-2011 school year, complete the application and submit to the Office of Academic Enhancement, Attn: SEHS Application, 125 S. Clark St., 4th floor, Chicago, IL 60603. You are not required to submit the application to your child’s counselor or principal. All necessary records (e.g., standardized test scores, classroom grades, IEP/504 Plan confirmation) can be obtained through the CPS Student Information System.

5. If your child: [a] attended a charter school in the 2010-2011 school year, or [b] or attended a non-CPS school in the 2010-2011 school year, complete the sections for student information and school selection and submit the application to the student's counselor or principal. The counselor or principal will complete the standardized test and performance data (dark gray section), attach a copy of the student's records (including a copy of the student's IEP/504 Plan, if applicable), and submit all materials to the Chicago Public Schools, Office of Academic Enhancement, Attn: SEHS Application, 125 S. Clark St., 4th floor, Chicago, IL 60603. You are strongly encouraged to request a receipt that indicates the time, date and to whom the application was submitted.

6. Submit one application per student. If more than one application is received, only the first application received will be processed. If you have already submitted an application and need to modify it, you must submit a Selective Enrollment/Military Academies Application Modification form, available at www.cpsoae.org (click “Apply.”)

Checklist: Please check the following to ensure that the application has been completed correctly. o All address fields have been completed (address number, direction, street name, street type and apt #, if applicable). o If the applicant is a CPS student, the Student ID is listed. o The application is signed by the parent/guardian.

SELECTIVE ENROLLMENT HIGH SCHOOLS (SEHS) APPLICATION 2012-2013 School Year Please read directions on opposite side. Deadline - Friday, December 16, 2011 57056 Student's Last Name Student's First Name

Grade Does your child have an IEP/504 Plan? applying to: CPS Student ID(If non-CPS, LEAVE BLANK) Birth Date (MM/DD/YYYY) Gender: Male Yes - copy of IEP/504 is attached 9 / / Female No - my child does NOT have a IEP/504

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

Address Direction Street Name (P.O. Boxes not accepted) Street Type Apt#

City State Zip Code

Parent/Guardian Email Address CAPITAL letters only. Write number 1, letter I, letter L, letter O and number Ø. @ Home Phone Work/Cell Phone FOR OFFICE - - - - USE ONLY SELECTIVE ENROLLMENT HIGH SCHOOLS ORDER OF CHOICES SELECTIVE ENROLLMENT TEST DATES SELECTIVE ENROLLMENT TEST SITES Fill in the oval next to the date(s) on Select the site where you would like your SELECT UP TO 6 123456which your child will NOT be able to child to be assigned to test. Choice of site test. We reserve the right to assign does not affect selection. Brooks College Prep students to alternate sites and/or dates. Brooks - 250 E. 111th St. Jones College Prep Dec. 10, 2011 Dec. 17, 2011 King - 4445 S. Drexel Blvd. King College Prep Jan. 14, 2012 Jan. 21, 2012 Lane Tech - 2501 W. Addison St. Lane Technical Jan. 28, 2012 Young - 211 S. Laflin St. Lindblom Math & Science If, for religious reasons, your child is Is your child taking the unable to test on Saturdays, please Catholic Schools test? Northside College Prep fill in the oval to test on: Payton College Prep Friday, Jan. 27, 2012 Yes No

Westinghouse College Prep What type of school does your child currently attend? Whitney Young Magnet CPS (non-Charter) CPS (Charter) Private/Parochial Non-CPS public school MILITARY ACADEMIES ORDER OF CHOICES MILITARY INTERVIEW DATES I affirm that the information provided on this form is true and correct. I understand that the address provided may be used for assigning a tier in the SELECT UP TO 4 1234You will be notified by CPS as to student assignment process. I understand that I will have to provide proof of this when and where interviews will address at the time of enrollment, and that the validity of my child's application is Air Force Academy be held. We reserve the right to dependent on that proof. I understand that this application does not guarantee assign students to alternate sites acceptance into any selective enrollment high school and/or military academy. I consent for my child to be tested and/or interviewed for the admissions process Carver Military Academy and/or dates. Please fill in the and for the results to be shared among all the selective enrollment high schools oval next to the date your child and/or military academies. I understand that an incomplete application will not be Chicago Military Academy will NOT be able to interview. accepted. I understand that my child may be subject to immediate removal from a Marine Military Academy Jan. 14, 2012 selective enrollment high school/military academy if admission was gained based on a falsified application. Phoenix Military Academy Jan. 21, 2012 Signature of Parent/Guardian - REQUIRED Rickover Naval Academy Jan. 28, 2012 IF YOUR CHILD ATTENDED A CHARTER OR NON-CPS SCHOOL IN THE 2010-2011 SCHOOL YEAR, SCHOOL OFFICIAL MUST COMPLETE SECTION BELOW. FINAL GRADES - 2010-2011 SCHOOL YEAR 2010-2011 Standardized Test and Performance Data School Official: Please write in and bubble in required information listed to the left. Reading: Math: Science: Soc. Science: Only complete if student was a charter/non-CPS student during 2010-2011. AB CDF AB CDF AB CDF AB CDF Attach a copy of the student's record that verifies all of this information.

TEST SCORES - 2010-2011 SCHOOL YEAR Print Name of School Official Signature of School Official Reading Comp %ile: Stanine: Total Math %ile: Stanine:

School Name School Phone #