SUMMER EDUCATION ACADEMY 2019 REGISTRATION FORM · SUMMER EDUCATION ACADEMY 2019 – REGISTRATION...
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SUMMER EDUCATION ACADEMY 2019 – REGISTRATION FORM This is a fillable PDF. Please type or print ALL Information. STUDENT TUHSD Student I.D. # (Last Name) (First Name) ADDRESS CITY ST ZIP Gender Date of Birth Current Grade Level SEND SUMMER EDUCATION ACADEMY GRADES TO (name of School) (School address, if not a TUHSD School) FATHER/GUARDIAN DAY TIME PHONE # MOTHER/GUARDIAN DAY TIME PHONE # EMERGENCY CONTACT DAY TIME PHONE # I understand that my son/daughter is expected to follow Tempe Union High School District’s Standards of Behavior. Failure to follow the Standards of Behavior may result in dismissal from the Summer Education Academy program at the discretion of the site administrator. I further state that I have read and understand the “Statement of Awareness” policy. Parent/Guardian Signature Date *If paying by credit or debit card the cardholder must be present. How did you learn about the Summer Education Academy? COUNSELOR NAME COUNSELOR SIGNATURE DATE COURSE SELECTION 1st SESSION: May 28, 2019 – June 12, 2019 COURSE # and NAME Credit Recovery? 2nd SESSION: June 13, 2019 – June 28, 2019 COURSE # and NAME Credit Recovery? NCAA-Approved Courses needed? TEMPE UNION ONLINE (TUOL) COURSE SELECTION March 1, 2019 – June 21, 2019 COURSE # and NAME NCAA-Approved Courses needed? All coursework must be completed in order to request the final exam. The coursework and final exam must be completed by June 21, 2019. Please sign separate Statement of Awareness form. *Tempe Union Online (TUOL) final exams must be administered in person by a proctor. **Students sign up for a testing time on the Tempe Union website at www.tempeunion.org/SEA and must bring a Photo ID to exam. TRANSPORTATION Fee: $35 per session From which TUHSD High School will student board the bus? OFFICE USE ONLY 1st SESSION TUITION: $ Art Fee $30 $ Transportation Fee $35 $ 2nd SESSION TUITION: $ Art Fee $30 $ Transportation Fee $35 $ Non-TUHSD Student Fee: $35 per session $ FRM Status 1 2 3 N/A TOTAL DUE: $ STUDENT HANDBOOK RECEIPT I have received the SEA 2019 Student/Parent Handbook and understand all policies and procedures. Parent/Guardian Signature: Student Signature: For a confirmation email of registration, please provide your email address: Parent Email Address: Student School Email Address:
Transcript of SUMMER EDUCATION ACADEMY 2019 REGISTRATION FORM · SUMMER EDUCATION ACADEMY 2019 – REGISTRATION...
SUMMER EDUCATION ACADEMY 2019 – REGISTRATION FORM
This is a fillable PDF. Please type or print ALL Information.
STUDENT TUHSD Student I.D. # (Last Name) (First Name)
ADDRESS CITY ST ZIP
Gender Date of Birth Current Grade Level
SEND SUMMER EDUCATION ACADEMY GRADES TO (name of School) (School address, if not a TUHSD School)
FATHER/GUARDIAN DAY TIME PHONE #
MOTHER/GUARDIAN DAY TIME PHONE #
EMERGENCY CONTACT DAY TIME PHONE #
I understand that my son/daughter is expected to follow Tempe Union High School District’s Standards of Behavior. Failure to follow the Standards of Behavior may result in dismissal from the Summer Education Academy program at the discretion of the site administrator. I further state that I have read and understand the “Statement of Awareness” policy.
Parent/Guardian Signature Date
*If paying by credit or debit card the cardholder must be present.
How did you learn about the Summer Education Academy?
COUNSELOR NAME COUNSELOR SIGNATURE DATE
COURSE SELECTION
1st SESSION: May 28, 2019 – June 12, 2019
COURSE # and NAME
Credit Recovery?
2nd SESSION: June 13, 2019 – June 28, 2019
COURSE # and NAME
Credit Recovery?
NCAA-Approved Courses needed?
TEMPE UNION ONLINE (TUOL) COURSE SELECTION March 1, 2019 – June 21, 2019
COURSE # and NAME NCAA-Approved Courses needed?
All coursework must be completed in order to request the final exam. The coursework and final exam must be completed by June 21, 2019.
Please sign separate Statement of Awareness form.
*Tempe Union Online (TUOL) final exams must be administered in person by a proctor.
**Students sign up for a testing time on the Tempe Union website at
www.tempeunion.org/SEA and must bring a Photo ID to exam.
TRANSPORTATION
Fee: $35 per session
From which TUHSD High School will student board the bus?
OFFICE USE ONLY
1st SESSION TUITION: $
Art Fee $30 $
Transportation Fee $35 $
2nd SESSION TUITION: $
Art Fee $30 $
Transportation Fee $35 $
Non-TUHSD Student Fee: $35 per session $
FRM Status
1 2 3 N/A TOTAL DUE: $
STUDENT HANDBOOK RECEIPT
I have received the SEA 2019 Student/Parent Handbook and understand all policies and procedures.
Parent/Guardian Signature:
Student Signature:
For a confirmation email of registration, please provide your email address:
Parent Email Address: Student School Email Address:
