MedTech Academy Application
Student First Name *
Student Last Name *
Are you currently a MedTech Student? *
Current Grade *
Current GPA *
Age *
Parent(s) or Guardian(s) Name(s) *
Street Address *
City *
Zip Code *
Phone Number *
In three or four sentences, explain why you want to be in this Academy? *
What are your post secondary plans? *
Required
Please explain your post secondary plans. *
How do you think you will benefit from the Academy program? *
What school subjects do you like the most? Why? *
What school subjects do you like the least? Why? *
How would you rate your academic performance? *
Bad
Excellent
Have you received one or more grades of D or F in previous grades? *
If yes, how many and in which subjects?
How would you rate your attendance? *
How would you rate your classroom behavior? *
Bad
Excellent
Please elaborate on, or explain, your classroom behavior. *
How would you rate your attitude about school? *
Bad
Excellent
Please elaborate on, or explain, your attitude about school. *
Have you ever been suspended from high school? *
If yes (previously suspended), please explain what happened.
If your grades slip, would you willingly participate in a tutoring program to help? *
If necessary, would you attend summer school to be admitted to the Academy? *
Are you willing to do community service projects as part of your coursework after school? *
Is there anything else you would like us to know about you?
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