ELP Nomination Form for 7th/8th Grade

Please check all of the options that apply to you and provide the corresponding information in the spaces provided.  A minimum of three (3) options must be met in order to be considered for enrollment.  All information that is provided will be reviewed and verified by the ELP Coordinator. If you have any questions regarding the application process, please contact the ELP Coordinator or your Guidance Counselor. 

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Student Name (first and last): *
Grade: *
School:   *
OPTION 1I am enrolled in or have completed above grade level, Honors, and/or AP Courses (Examples include:  Algebra 1, Geometry, Earth & Space Science, World Languages).   
Please select the applicable courses below:
*
Required
OPTION 2:   I have an ISASP Core Total or Complete Composite score at the 97th percentile or higher;  or ISASP Subject score (ELA Total, Math Total, Social Studies, and/or Science) at the 98th percentile.  
List type of score and specific score and test date:
*
OPTION 3:   Teacher References:  I have 3 teachers who are willing to provide a reference on my behalf.  
List their names & contact information below:
*
OPTION 4:   Portfolio Submission:  The portfolio is not intended to include a list of achievements and/or awards.  Instead, portfolio items should demonstrate and will be evaluated on the following criteria:
-Original work (advanced beyond age or grade level)
-Resourceful and/or creative
-Evidence of high interest and/or passion
-High ability with demonstrated proficiency and in-depth understanding.
-Need for services beyond general guidance/counseling
Describe each item you have included in your portfolio in the space below.  Portfolio items are limited to a maximum of 3.  Include only exemplary items.  Feel free to attach additional documentation if more space is needed.
*
Personal Statement:  In addition to the above items, students must also submit responses to personal statements.  Submit your responses to the following 4 prompts in the space below:  
1)  I believe I am a good candidate for the Extended Learning Program because...
2)  The benefits/services I would like to receive as a result of participating in the Extended Learning Program include...
3)  The academic and/or guidance needs I have that are not currently being met include...
4)  One thing most people do not know about me that makes me unique is...
*
Parent Signature:  A parent/guardian must give consent to submission of this nomination form.  
Type in parent name and contact information below:
*
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