1. education
2. school

FOR OFFICE USE ONLY:
Kansas City Public Schools
with Partners
Middle/High School Enrichment/Credit Recovery
Summer School 2015 Application
Non KCPS District Students
Summer
experience
KCPS
School ____________
Grade ____________
2015
Student Information:
Legal Name: ___________________________________________________________________________________ Student’s Language____________________________________
FirstMiddle Last
Student ID #: ___________________________ Current School_____________________________________________ Current Grade______________ 2015-16 Grade___________
Gender: ☐ Male ☐ Female
____________________________________________________________________________________________________________
Summer Student Home/Address City
State
Zip
____________________________________________________________________________________________________________
Parent/Guardian Name
Relationship to Student
____________________________________________________________________________________________________________
Home Phone
Cell Phone
Work Phone
____________________________________________________________________________________________________________
E-Mail Address
D.O.B: _________/__________/______________
Choose one ethnicity:
Hispanic/Latino
Not Hispanic/Latino
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Check All Appropriate Races (regardless of
ethnicity):
American Indian/Alaskan Native
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Asian
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Black/African American
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White
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Native Hawaiian/Other Pacific Islander
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Emergency Contact Information:
Name:______________________________________________________________ Relationship to Student:______________________Allow to leave with student: ☐Y ☐N
Cell Phone: (______)_________-______________Home Phone:(______)__________-__________________ Work Phone(________)________-__________________
☐ I understand and accept the Summer School Rules and Regulations. I agree that my student will be placed in class(es)
according to his/her current school’s recommendation.
Parent/Guardian Signature: ______________________________________________________________ Date:_______/_______/_______
Required for application to be valid. Parents/guardian must provide a photo id and signed affidavit at time of enrollment.
SUMMER SCHOOL RULES AND REGULATIONS
1. ATTENDANCE: Attendance will be taken the same as during the regular school year. Any student who misses more than 6 hours of summer
school will not receive credit for the course, or courses.
2. TARDINESS TO CLASS: All students are to be in their classrooms when academic instruction begins. Any student who is tardy will be marked
absent for the hour the tardy occurs.
3. STUDY: Summer school courses cover a great deal of material in a short time; consequently, students must study both during the school day
and outside of school time. Books are to be taken home each day.
4. GRADES: Students who are taking courses for credit will receive the same type of grades as given during the regular school year.
5. LEAVING THE BUILDING: Students are not to leave the building unless they are leaving the school grounds for the day. Students must notify
the summer school office before leaving the building.
6. GUIDANCE: During the summer, guidance will be available for any student who needs assistance with classes.
7. SPECIAL SERVICES: Students requiring accommodations due to an IEP or 504 Plan should contact their case manager prior to enrolling in
summer school.
8. CITIZENSHIP AND DRESS: Students are in summer school voluntarily. They are expected to maintain a wholesome attitude toward learning.
Students who do not maintain good school citizenship may be dismissed from school and without credit. Students in summer school will be
expected to conduct themselves and to dress in the same manner as acceptable during the regular school year.
All rules and regulations established by the district during the regular school year shall be enforced during summer school.
Applications are due to Admissions, 1211 McGee, Kansas City, MO, by May 1, 2015. 8:00 a.m. - 4:30 p.m. Mon. - Fri., 816-418-7505
Additional applications available at www.kcpublicschools.org/summer
Middle School and High School Enrichment/Credit Recovery
The district will make every attempt to assign students to a site closest to their homes.
Transportation from within KCPS boundaries will be provided to these schools unless noted.
Kansas City Public Schools– Rising grades 7-8 and Credit Recovery grades 7-8, June 1, 2015 - July 10, 2015, 7:30 a.m. - 12:40 p.m.
☐ Central Middle School
☐ Northeast Middle School
Middle School Students (current 7th and 8th Graders who need credit recovery) maximum credit earned: 2 credits
☐ All students will be enrolled in the following courses: Language Arts, Math, Science, and Social Studies
Rising 7th and 8th Graders (for current 6th and 7th Graders who have been promoted)
☐ All students will be enrolled in the following courses: (Enrichment only, not for credit)
ELA Enrichment, Math Enrichment, Physical Ed., Computer Technology
☐ Mt. Pleasant Baptist Church (Freedom Schools) - Rising 7-9, June 15, 2015 - July 31, 2015, 8:00 a.m. to 4:00 p.m.
Reading Enrichment (SRE07000), (Enrichment only, not for credit). Parents must provide transportation.
Upper Room – Rising grades 7-8, June 8, 2015 - July 31, 2015, 7:30 am - 6:00 pm.
Reading Enrichment (SRE07000), Art, and Math (Enrichment only, not for credit). Parents must provide transportation.
☐ Holy Cross
☐ Jamison Temple CME Church
☐ Metropolitan Missionary Baptist Church
☐ Palestine Missionary Baptist Church ☐ Police Athletic League
☐ St. Mark’s Union Church
☐ St. Stephen’s Baptist Church
Boys & Girls Clubs – Rising grades 7-8, June 1, 2015 - July 31, 2015, 7:00 a.m. - 6:00 p.m.
Reading Enrichment (SRE07000), (Enrichment only, not for credit).Parents must provide transportation to these sites.
☐ Thornberry
☐ Wagner
☐ W.E.B. Dubois - Rising 7-8, June 1, 2015 - July 10, 2015, 7:30 a.m. to 2:45 p.m.
Reading and math. (Enrichment only, not for credit). Parents must provide transportation.
☐ Rising & Credit Recovery 9-12
East High School
7:30 a.m. - 12:40 p.m.
June 1, 2015 - July 10, 2015
☐ Rising & Credit Recovery 9-12
AC College Prep Academy
7:30 a.m. - 12:40 p.m.
June 1, 2015 - July 10, 2015
High School Students (current 9-12th Graders who need credit recovery)
maximum credit earned: 1 credit Semester 1: June 1-June 19; Semester 2: June 22-July 10
All S1 ☐ ☐
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S2
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English 9 (EN09001)
English 10 (EN10001)
English 11 (EN11001)
English 12 (EN12001
Algebra 1 (MA09111)
Geometry (MA09121)
Algebra 2 (MA10110)
All ☐
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S1 ☐
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S2
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Physics First (SC09121)
Biology (SC09141)
Environmental Science (SC10161)
World History (SS09101)
American History (SS10100)
American Government (SS11150)
Econ/Personal Finance (SS11102)
☐ ☐ ☐ Other Courses needed for graduating Seniors: __________________ _____________
Course Name Course Number
Rising High School Students (for current 8th-11th graders who have been promoted)
maximum credit earned: 1 credit In partnership with 7 Strategic
Note: Current HS students who need the following classes for credit can only
earn a maximum of 1 credit between the 2 categories.
All S1 S2
All S1 S2
☐ ☐ ☐ Physical Education (PE09113)
☐ ☐ ☐ Multi-cultural Studies (SS11126)
☐ ☐ ☐ Foundation of Art (AR09106)
☐ ☐ ☐ Graphic Design (AR09109) Prereq: AR09106
☐ ☐ Health (PE09150)
☐ ☐ Col. Adm. Prep (College Summit—MI11125)