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Student Application Form
*If the cumulative GPA is below 2.7, a letter of recommendation from a teacher or counselor must accompany the application.

#1 Parent(s)/Guardian(s)

#2 Parent(s)/Guardian(s)


Signatures Needed for Permission, Certification, and Release:

I certify that the information in this application is true and correct to the best of my knowledge.

My son/daughter has my permission to participate in The Academy for Scholastic and Personal Success program. I understand that the application information and his/her school transcripts will solely be used for program purposes. The information will be kept confidential.

I understand that the purpose of the Academy for Scholastic and Personal Success (ASPS) is to encourage students of color toward fulfillment of their potential by exposing them to higher learning in language arts, history, math, science, and professional skills. ASPS embraces cultural and historical traditions to empower students to possess dignity, integrity, and confidence.

  1. As an ASPS student, I understand the importance of academic success. I agree to achieve and maintain no less than a 2.7 GPA. It is my responsibility to identify subjects that challenge me and ask for help. I will make myself aware of the school resources and programs that can assist me in reaching/exceeding this goal.
  2. As an ASPS student, I understand the importance of maintaining good and regular school attendance. I am expected to be in class every day unless excused by a parent/guardian. No more than three unexcused absences per trimester are acceptable.
  3. As an ASPS student, I understand the importance of character in and out of school. I assume the responsibility to represent ASPS by role-modeling positive peer interactions as well as respectful relationships with adults. All school and community behavioral referrals and charges will be investigated.
  4. As an ASPS student, I understand my attendance at ASPS gatherings and fundraisers is mandatory. If I need to be absent, I will call the ASPS director and be excused from the event. I will be respectful and courteous at all ASPS events/gatherings.

I understand that failure to comply with any or all of the above statements may result in my dismissal from the Academy for Scholastic and Personal Success.