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2015-2016
Admissions Application
Procedure and Checklist
© HFAA 2015-16
PLEASE NOTE: INCOMPLETE APPLICATIONS WILL NOT BE ENTERED INTO THE LOTTERY
No application will be considered complete until:
uALL of the following checklist items have been submitted
v ALL required records from the student's previous school(s) have
been received (transcripts, discipline records, attendance etc.)
Applicants Name
LAST
FIRST
Applying for:
9th
10th
MIDDLE
11th
12th
APPLICATION CHECKLIST
u Student Information Form
v Proof of Residency Form
Y
Y
Y
N/A
Utility Bill or Lease/Rental Agreement
(If out of district, see information on page 2 of this application.)
w Student Code of Conduct
x Parent Participation Agreement
y Student Essays (3)
z Records Release Form
{ Math Evaluation Form
| Teacher Evaluation Form
} Student Interest Form
Y
Y
Y
Y
Y
Y
Y
Student's Immunization Records - Copy
Student's Birth Certificate - Copy
*Transcript - Copy
*Student's Discipline Record from Prev. School - Copy
*Student's Attendance Record from Prev.School - Copy
Y
Y
Y
Y
Y
TURN THIS CHECKLIST IN WITH APPLICATION
*Discipline, Attendance and Transcript reports will be accessed from the student's
cumulative folder. These materials will be sent from the student's former school; no action is
needed by a parent or guardian. Each student must have successfully completed the
previous grade to be considered for admission.
DEADLINE IS MARCH 6th, 2015 by 5:00pm
COMPLETED APPLICATIONS RECEIVED AFTER DEADLINE WILL GO ON A WAITING LIST
Deliver to our offices
or mail to:
+
Harding Fine Arts Academy
P.O. Box 18895
Oklahoma City, OK 73154
405-702-4322
Sorry, we are unable to accept
e-mailed or faxed applications.
STUDENT
Only Completed
Applications
will be entered
into the lottery.
INFORMATION
u
**** PLEASE PRINT OR TYPE ****
,
LAST
Applying for
which Grade?
9th
10th
FIRST
MIDDLE
MALE
CITY
BIRTH PLACE
STUDENT E-MAIL
,
CITY
Other
,
,
STATE
STATE
,
ZIP CODE
STATE
Yes
Does the student applying have a sibling currently attending Harding Fine Arts Academy?
ZIP CODE
COUNTRY
PREVIOUSLY
ATTENDED:
NAME of LAST SCHOOL ATTENDED
OKCPS
FEMALE
CITY
APARTMENT #
STUDENT CELL #
District of
Residence
PREFERRED NAME
12th SS #
11th
STREET
ADDRESS
DATE OF BIRTH
© HFAA 2015-16
STUDENT INFORMATION
SECTION 1
NAME
(Rev. October 2014)
u
PAROCHIAL
PUBLIC
CHARTER
PRIVATE
HOME SCHOOL
No
OPTIONAL
Name of HFAA sibling?
OPTIONAL: How does HFAA use the following demographic and educational information? Rest assured, the following information is NEVER used for
selection purposes. HFAA believes in meeting the needs of each individual child/student. Collecting this information helps us learn more about your child to
better meet those needs.
RACE (may check more than one)
ETHNICITY
Hispanic
American Indian or Alaska Native
Not Hispanic
Black or African American
Native Hawaiian or other Pacific Islander
Asian
Caucasian
Does you child currently receive any special academic accommodations?
Yes
No
If yes, please explain:
SECTION 2
E Please check one
PARENT / GUARDIAN INFORMATION
1. NAME
Relationship
to Student
ADDRESS
PRIMARY LANGUAGE
SPOKEN IN THE HOME
STREET
Lives with
Student?
CITY
HOME #
CELL #
Yes
No
ZIP CODE
E-mail
FEDERALLY EMPLOYED WORK #
Place of
Employment
2. NAME
Relationship
to Student
ADDRESS
STREET
Lives with
Student?
CITY
HOME #
CELL #
Yes
No
ZIP CODE
E-mail
FEDERALLY EMPLOYED WORK #
Place of
Employment
SCHOOL USE ONLY
DATE COMPLETED
/
/
TIME COMPLETED
AM PM
P R I O RITY GRO UP
A
B
C
I hereby certify I am the parent / legal guardian of the above student, and
*affirm
all information contained herein is correct.
Current information is vital to the education and safety of every student. I
acknowledge that it is my responsibility to update the above information as it
changes.
LOTTERY #
LOTTERY NOTIFICATION SENT:
/
/
Parent / Guardian Signature
Date
PROOF
of RESIDENCY
INSTRUCTIONS
v
SECTION 1
STUDENT INFORMATION
NAME
LAST
**** PLEASE PRINT OR TYPE ****
District of
Residence
OKCPS
SECTION 2
(Rev. October 2015) © HFAA 2015-16
CITY
F
SEE
SECTION 3
Other
v
M.I.
FIRST
STREET
ADDRESS
Only Completed
Applications
will be entered
into the lottery.
F
SEE
SECTION 4
Applying for
which Grade?
ZIP CODE
9th
10th
11th
12th
Yes
No
PARENT / GUARDIAN INFORMATION
NAME
Relationship
to Student
Lives with
Student?
* Guardian(s) must provide the following items required by Oklahoma City Public Schools:
"Adults serving as guardians for students in the district are required to show proof of
guardianship with a certified court document, adoption papers, or transfer of guardianship
through DHS, Social Security or a notarized letter from the parent."
SECTION 3
IN DISTRICT ? If yes, complete this section.
Parent / Guardian, sign below and provide the following items required by Oklahoma City Public Schools:
ONE (1) FORM of:
REAL ESTATE CONTRACT: "Title to residential property in the district, valid unexpired lease
agreement, or receipts for payment of rent on a district residence in which the applicant
actually resides."
- OR -
TWO (2) FORMS of:
CURRENT UTILITY BILLS (within last 60 days): OG&E, ONG, water.
(Addresses with a P.O. Box number are not acceptable. Cable or Phone bills are not acceptable.)
Please write your child's name on the bills.
SECTION 4
OUT of DISTRICT ? If yes, see information below.
accepted, students whose legal residence is outside of the
* IfOKCPS
district will need to obtain a transfer. OPEN TRANSFERS
into the OKCPS district must be sought immediately upon
acceptance. Transfers will need to be signed by the HFAA
principal. Occasionally, a home district will provide an Emergency
Transfer; however, this is the exception, not the rule.
GO HERE TO APPLY
*
F
OKC Public Schools
STUDENT SERVICES
900 North Klein
Oklahoma City, OK 73106
405-587-0000
I hereby certify I am the parent or that I have obtained legal guardianship or legal custody through the courts
for the student listed above. I also certify that the address listed above is my legal residence. I further
understand that if my legal residence is determined to be located in another school district and I have not
obtained an approved Open or Emergency Transfer, any child indicated as residing at the address above
could be withdrawn from Harding Fine Arts Academy and the parent/legal guardian could be assessed a
tuition fee equal to the per capita cost of education in such district during the preceding school year. I certify I
have read the statements above and the information provided is accurate. I also understand that this
document applies to the school year listed above.
Parent / Guardian Signature
Date
STUDENT
Code of Conduct
w
Only Completed
Applications
will be entered
into the lottery.
(Rev. October 2014)
w
© HFAA 2015- 16
HFAA sets the highest of expectations for student behavior and school safety. We expect every student to come to
school prepared to learn and ready to treat themselves and others with respect. Because we care about the physical and
emotional safety of our students, inappropriate behavior will not be tolerated and will result in disciplinary action.
STUDENT CONDUCT AGREEMENT
I understand that I choose my own actions. I also understand that every choice I make has consequences
(positive or negative). With that in mind, I promise:
INITIAL EACH BELOW
EE E
To treat myself, teachers, peers, and school property with respect.
To take responsibility for my own education by arriving at school on time, coming to
class prepared, and completing assignments on time.
To obey classroom rules set by teachers.
To refrain from profanity in speech, personal conduct, and written language.
To settle disputes with my peers respectfully and appropriately.
To not endanger myself or others by bringing any form of weapon, lighters, drugs, alcohol,
or tobacco products to the school grounds.
To refrain from vandalizing or misusing any school property (i.e. books, lockers, bathrooms, etc...).
To keep my hands, feet, and objects to myself at all times.
To participate in activities whenever possible and to maintain a healthy lifestyle by avoiding harmful
substances and behaviors.
To not engage in any form of sexual harassment.
To not participate in secret societies (i.e. gangs or occult activities) on school grounds or at school
sponsored events.
To strive to exhibit behaviors that earn the respect of teachers, peers, and parents.
To follow the HFAA's Dress Code (both in and out of uniform).
To adhere to the Code of Conduct at all school sponsored events and activities whether during or
outside the school day.
To agree to participate in 20 hours of community service per academic year.
My child and I have thoroughly reviewed the HFAA Code of Conduct as listed above. We also understand that
this is only an excerpt from the Student/Parent Handbook. Failure to abide by the Code of Conduct and/or
other rules and policies of Harding Fine Arts Academy can be grounds for disciplinary action up to and
including dismissal, and the cancelation of my child's transfer to HFAA.
Student's Full Name (please print):
Student's Signature:
Date:
Parent's / Guardian's Name (please print):
Parent's / Guardian's Signature:
Date:
PARENT
x
PARTICIPATION
AGREEMENT
Only Completed
Applications
will be entered
into the lottery.
(Rev. October 2014)
x
© HFAA 2015-16
By choosing to become a part of the Harding Fine Arts Academy
community I am expecting more from my child's education and their future. I
acknowledge HFAA is a college preparatory high school focusing on an
enriched, liberal arts curriculum. I agree to vigorously support my child in
their pursuits and HFAA in their mission and vision. With this in mind, I
commit:
► To model my expectations by being a positive role model for my child.
► To consistently monitor my child's study habits and the completion of their assignments.
► To monitor my child's gradebook and communicate any concerns with both my child and
his/her teacher(s) before issues become dire.
► To support HFAA's No-Zero Tolerance policy and Academic Intervention by working to hold
my child accountable to the timely completion assignments.
► To make sure my child regularly gets an appropriate amount of sleep each night.
► To ensure my child arrives at school on time.
► To support HFAA's attendance policy of no more than eight (8) total absences per semester
by ensuring my child is at school and in class.
► To support HFAA's Student Handbook, Code of Conduct, and classroom rules set by
individual teachers.
► To enforce daily the student dress code, and to be prepared to pick up my child from school
if there is a violation.
► To personally donate 20 hours of service per year to HFAA through participation in
workdays and other volunteer opportunities.
► To be financially responsible for the restoration of any HFAA property stolen, destroyed or
lost while in the care of my child, and any fees or accounts accrued on my child's behalf.
► To conduct myself in a professional manner with other members of the HFAA community
including teachers, administrators, and other students and parents.
Parent / Guardian Signature
Date
STUDENT
ESSAYS
&
AUDITIONS
y
y
Only Completed
Applications
will be entered
into the lottery.
(Rev. October 2014)
© HFAA 2015-16
* Return this signature page with completed Essays.
STUDENT APPLICATION ESSAYS
Students applying to Harding Fine Arts Academy must submit three (3) essays with their application.
These essays are NOT used to select students for acceptance, so why are they required? All education is
personal and we at HFAA are very interested in who your child is, their dreams and goals, and at what
level they are academically. Our goal is to challenge your child in the areas they excel and to support
them where they are struggling. Language is a cornerstone to academics. These essays give us insight
into who your child is personally and are used as writing samples for their language arts proficiency.
Each essay is to answer one of the following questions:
Essay #1 What makes a good student?
Essay #2 What does art mean to you?
Essay #3 Why do you want to attend Harding Fine Arts Academy?
STUDENT PLACEMENT AUDITIONS & TESTING:
If your child is selected through the lottery to attend HFAA you will receive an
acceptance letter and information regarding enrollment. Depending on past transcripts
and courses selected, your child may be scheduled for auditions and/or testing for
placement.
Once selected, it is the responsibility of each student to be present for scheduled
placement auditions and/or testing. Missing any of these can affect a student's
enrollment in desired courses. You will be informed of any times you are required to be
present.
Parent's / Guardian's Signature:
Date:
RECORDS RELEASE
z
**** PLEASE PRINT OR TYPE ****
Director of Admissions
[email protected]
Fax: 405.601.0904
STUDENT INFORMATION
NAME
LAST
DOB
MALE
FEMALE
PHONE
,
STREET
ADDRESS
SECTION 2
FIRST
MIDDLE
SS #
APARTMENT #
,
CITY
PARENT / GUARDIAN INFORMATION
NAME
Relationship
to Student
STATE
Lives with
Student?
ZIP CODE
Yes
No
DAY PHONE
HOME PHONE
CELL PHONE
SECTION 3
© HFAA 2015-16
(Rev. October 2014)
3333 North Shartel
Oklahoma City, OK 73118
Phone: 405.702.4322
SECTION 1
z
Only Completed
Applications
will be entered
into the lottery.
SCHOOL INFROMATION
SCHOOL PHONE
Last School
Attended
STREET
School
Address
CITY
FAX (REQUIRED)
,
ZIP CODE
STATE
Registrar:
Please send the following documents for the above student:
Transcript(s) / Grades
Attendance Records
Disciplinary Records
Student's Birth Certificate
Student's Immunization Records
F
Test Scores
NOTE: FERPA allows schools to disclose records, without consent, to other schools to which a student
is transferring (http://www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html)
Family Educational Rights and Privacy Act: 34 CFR Part 99 § 99.31(a)(2) - "...permit[s] educational agencies and
institutions to disclose education records, without consent, to another institution even after the student has enrolled
or transferred so long as the disclosure is for purposes related to the student's enrollment or transfer."
*
REGISTRAR / COUNSELOR
Please forward copies of the above documents a quickly as possible by:
2) fax to our office
405-601-0904
3) or mail documents to
P.O. Box 18895, OKC, OK 73154
?
?
Please call with any
questions:
405-702-4322
MATH EVALUATION
Deadline March 6th, 2015 at 5:00pm
{
**** PLEASE PRINT OR TYPE ****
SECTION 1
LAST
FIRST
© HFAA 2015-16
PHONE #
STREET
9th
10th
CITY
11th
MATH TEACHER
ZIP CODE
Parent(s)
Name
12th
STUDENT - FILL OUT THE ABOVE INFORMATION
SECTION 2
(Rev. October 2014)
{
STUDENT INFORMATION
Applicant's
Name
Address
Applying for
which Grade?
Only Completed
Applications
will be entered
into the lottery.
G H
THEN GIVE IT TO ONE OF THE TEACHERS LISTED BELOW
THE TEACHER - All information you provide will be kept in strict confidence. Candid assessment of strengths and weaknesses are
* TO
always more helpful to the student than routine praise, and knowledge of both in turn helps us identify how we can best serve each
student. This is for placement purposes only. Thank you for taking the time to complete this evaluation.
Math Teacher's
Name
School
School
Subject
MATH
How long have you known the applicant?
Q Please mark the appropriate
Serious
Concern
box for each descriptor:
1. Multiplication Table
2. Fractions & Decimals
3. Use of Integers
4. Multi-Step Equations
5. Graphing Linear Equations
6. Participation in the classroom
7. Personal discipline and work habits
8. Self-motivation
9. Ability to focus when necessary
10. Pride in quality of work
Unsatisfactory
Satisfactory
Mastery
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
Has this student (or will he/she) taken the
Algebra I EOI (End-of-Instruction) Exam?
YES
DATE OF EXAM
NO
Any additional comments:
Evaluator's Signature
*
To submit this evaluation form can be submitted in three ways:
1) Place form in an envelope, provide signature over the seal and return it to the student;
2) Mail or deliver directly to Harding Fine Arts Academy PO Box 18895, OKC OK 73154;
3) or Fax the form to our office 405- 601-0904.
Date
E
TEACHER - PLEASE RETURN
THIS EVALUATION IN ONE OF
THESE 3 WAYS.
TEACHER EVALUATION
Deadline March 6th, 2015 at 5:00pm
|
**** PLEASE PRINT OR TYPE ****
SECTION 1
LAST
FIRST
© HFAA 2015-16
PHONE #
STREET
9th
10th
CITY
11th
12th
STUDENT - FILL OUT THE ABOVE INFORMATION
SECTION 2
(Rev. October 2014)
|
STUDENT INFORMATION
Applicant's
Name
Address
Applying for
which Grade?
Only Completed
Applications
will be entered
into the lottery.
ZIP CODE
Parent(s)
Name
G H
THEN GIVE IT TO ONE OF THE TEACHERS LISTED BELOW
TEACHER - English, Social Studies, Science or Foreign Language
THE TEACHER - All information you provide will be kept in strict confidence. Candid assessment of strengths and weaknesses are
* TO
always more helpful to the student than routine praise, and knowledge of both in turn helps us identify how we can best serve each
student. This is for placement purposes only. Thank you for taking the time to complete this evaluation.
Evaluator's
Name
School
School
Subject
School Phone
*
Above
Average
Truly
Exceptional
1. Intellectual curiosity
2. Imagination & Creativity
3. Personal discipline and work habits
4. Self-motivation
5. Ability to focus when necessary
6. Pride in quality of work
7. Participation in the classroom
8. Written expression
9. Oral expression
10. Honesty & Integrity
11. Ability to work with others
12. Perseverance to complete tasks
13. Dedication to personal commitments
14. Any additional comments:
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
N/A
1
2
3
4
5
Evaluator's Signature
To submit this evaluation form can be submitted in three ways:
1) Place form in an envelope, provide signature over the seal and return it to the student;
2) Mail or deliver directly to Harding Fine Arts Academy PO Box 18895, OKC OK 73154;
3) or Fax the form to our office 405- 601-0904.
Average
box for each descriptor:
Top 5%
Below
Average
Q Please mark the appropriate
Top 15%
Serious
Concern
No Basis for
Judgment
How long have you known the applicant?
E
Date
TEACHER - PLEASE RETURN
THIS EVALUATION IN ONE OF
THESE 3 WAYS.
STUDENT
INTERESTS
}
**** WE WANT TO KNOW MORE ABOUT YOUR CHILD ****
SECTION 1
NAME
(Rev. October 2014)
}
© HFAA 2015-16
STUDENT INFORMATION
LAST
F
Only Completed
Applications
will be entered
into the lottery.
FIRST
M.I.
PLEASE NUMBER THESE IN ORDER OF PREFEENCE THROUGH
AT LEAST TEN (10)
AP Classes
Drama
Journalism
Science
Ballet
English
Leadership
Spanish
Band
French
Math
Speech/Debate
Choir
Guitar
Martial Arts
Strings
Computers
Graphic Arts
Photography
Visual Art
Dance
History/Soc. Stdy
Piano
Writing
Other: