Springbrook High School Academy of Information Technology Registration
Please complete all parts of this registration form

Student Information
Last Name *
Your answer
First Name *
Your answer
MCPS Student ID # *
If you are not in MCPS, write N/A
Your answer
Gender *
Street Address *
Your answer
Town/City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number *
Your answer
Student Email Address *
Your answer
What Pathway are you interested in studying? You may select more than one. *
9th Grade Technology Class
Courses requested for 10th Grade. Mark all the courses you registered for with your counselor.
What clubs are you interested in?
Why do you want to join AOIT? *
Let us know why you want to be part of our academy.
Your answer
What kind of experience do you have with computers and technology in general? This may include classes you have taken, things you have "played" with and explored at home, in camp, etc. It may include software you know how to use, etc. You don't need any experience to register for AOIT, we are just trying to identify the interests of our students. *
Your answer
Anything else you need us to know?
Your answer
Parent Contact Information
Information for at least one parent must be submitted in this application.
Parent/Guardian Name #1 *
Your answer
Parent/Guardian #1 Daytime Phone *
Your answer
Parent/Guardian #1 Email Address *
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Daytime Phone
Your answer
Parent/Guardian #2 Email Address
Your answer
Current Math Class *
Code of Conduct
In order to join the Academy of Information Technology, students and parents must agree to adhere to our code of conduct. Please read this carefully and complete the fields to indicate you have "signed" it.

• I understand that I must maintain a minimum overall GPA of 2.5.
• I understand that I must maintain a minimum of a C in all AOIT courses for all marking periods.
• I understand that I am to attend all AOIT functions.
• I understand that I must complete all required assignments, projects and activities.
• I understand that if I receive a referral I can be removed from AOIT.
• I understand that if I have more than 4 unexcused absences from any class I can be removed from AOIT.
• I understand that if I am dismissed by my internship site for unprofessional actions, I will be removed from the AOIT program.
• I understand that if I am violating academic integrity, I will be removed from AOIT.
• I understand that all MCPS rules and regulations apply.
Student: I have read and understand the above code of conduct for AOIT. I agree to follow this code of conduct. *
Required
As parent/guardian, I support my child’s commitment to the AOIT program. I understand that the rules and expectations must be fulfilled for my child to continue in the AOIT program. *
Required
Parent Guardian Permission
Parent/Guardian Permission *
I support my child's application to the Academy of Information Technology at Wootton High School. I understand that all information in this application will be kept confidential, and is accurate as of today. Type your name to indicate signature.
Your answer
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