<p> Student Application 2017 - 2018</p><p>This application is for enrollment as a full-time student at Rockdale Open Campus. Students must have completed at least two years of high school and have a minimum of five credits to be eligible for admission. Once the application has been completed by the student and signed by student and parent, return to home school counseling department, graduation coach or Open Campus. Incomplete applications will not be accepted. </p><p>1. Student Information (Please print) Student Name______Date of Birth______</p><p>RCPS Student ID Number ______Current School or Last School Attended ______</p><p>Counselor’s Name______Year in High School (circle one): 2nd 3rd 4th 5th or more </p><p>Guardian/Parent Name ______Home Phone ______</p><p>Home Address City______Zip ______</p><p>Parent’s Cell Phone______Parent’s E-mail______</p><p>Student’s Cell Phone ______Student’s E-mail ______</p><p>This application is for enrollment for the 1st semester of the 2017-2018 School Year.</p><p>Application deadline is April 12, 2017.</p><p>Important Reminders: *Applying does not guarantee admission. *Once enrolled, a student cannot return to their home school until the start of a semester at the home school. *Once a student is enrolled, they do not have to re-apply for attendance for sequential mini-semesters. However, any break in attendance to a sequential mini-semester or withdrawal from a mini-semester will constitute a need to re-apply. *All students are expected to comply with the discipline code of conduct and attendance policy. *Attendance policy- Obtaining more than 5 absences for any class period (excused and/or unexcused) per mini-semester will result in the student being withdrawn from that class for the remainder of the mini- semester. Students who are withdrawn from all classes must re-apply for admission.</p><p>1 3. STUDENT QUESTIONNAIRE: (ALL QUESTIONS MUST BE ANSWERED BY THE APPLICANT. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED)</p><p>How many credits have you earned in high school? ______(Minimum of 5 credits required to be eligible for enrollment) </p><p>How many credits are required for graduation? ______</p><p>Based on the number of credits you have earned thus far, indicate the month and year in which you expect to graduate. ______</p><p>Describe your plan for completing your remaining requirements for graduation.</p><p>How will attending Open Campus assist you in achieving this plan?</p><p>The Open Campus full-time student schedule is 8:20AM – 5:00 PM, Mon-Thurs, with extra help opportunities on Fridays, 8:20 – 10:30AM. Are you willing to commit to this schedule?______</p><p>How would you rate yourself in the following areas as a student? Use the following rating scale: 1 = poor 2 = fair 3 = good 4 = great </p><p>___respect towards faculty and staff ___attendance at school</p><p>___dress code ___following school and classroom rules</p><p>___being on-time to class ___respect towards other students</p><p>Describe what will you do differently at Open Campus in the area above not rated as “4”.</p><p>______</p><p>Student Signature Date </p><p>Parent Signature Date Once the application is received at Open Campus, the student will be contacted for an interview with Open Campus staff. Students currently enrolled in RCPS will be interviewed at their home school. </p><p>2 Incomplete applications will not be accepted.</p><p>3</p>