SUMMER SCHOOL CREDIT RECOVERY APPLICATION 2015
Applications are Due by April 13, 2015
Student ID #:______________
Grade:____________
School of Residence:_________________________________________
Student Name:________________________________________________
Address:_________________________________________________
Age:____________
DOB:______/______/______
City:_________________________
Zip:____________
Parent/Guardian Name:____________________________________ Telephone: H__________________ C_________________
SUMMER SCHOOL DATES: JUNE 15 – JULY 10, 2015 (NO CLASSES JULY 03)
Below are the schools that will host Summer School 2015. Please circle the school based on your SCHOOL OF RESIDENCE.
SUMMER SCHOOL SITE
HOURS
SCHOOL OF RESIDENCE
CASTLE PARK HIGH
OLYMPIAN HIGH
MONTGOMERY HIGH
SWEETWATER HIGH
8:00 a.m. – 12:30 p.m.
8:00 a.m. – 12:30 p.m.
8:00 a.m. – 12:30 p.m.
8:00 a.m. – 12:30 p.m.
CPH, CVH, HH, OSS
BVH, ELH, OLH, ORH
MVH, MOH, SYH, SOH
GJH, SUH, OPEN TO ANY SITE
COURSE SELECTION:
ENGLISH
91136A – English 9-A
91136B – English 9-B
91129A – English 10-A
91129B – English 10-B
91140A – English 11-A
91140B – English 11-B
91459A – ELD 1 Hour 1-A
91459B – ELD 2 Hour 2-A
91463A – ELD 3 Hour 1-A
91463B – ELD 4 Hour 2-A
91467A – ELD 5 Hour 1-A
91467B – ELD 6 Hour 2-A
91471A – ELD 7 Hour 1-A
91471B – ELD 8 Hour 2-A
98728A – READ 180 Fundamentals A
98728B – READ 180 Fundamentals B
MATH
92604A – Algebra A
92604B – Algebra B
98566A – Algebra Fundamentals 1-A
98566B – Algebra Fundamentals 1-B
MATH (CONT)
98568A – Algebra Fundamentals 2-A
98568B – Algebra Fundamentals 2-B
92612A – Extended Algebra 1-A
92612B – Extended Algebra 1-B
92614A – Extended Algebra 2-A
92614B – Extended Algebra 2-B
92630A – Formal Geometry A
92630B – Formal Geometry B
92644A – Intermediate Algebra A
92644B – Intermediate Algebra B
92923A – Integrated Math I-A
92923B – Integrated Math I-B
92924A – Integrated Math II-A
92924B – Integrated Math II-B
92926A – Integrated Math III-A
92926B – Integrated Math III-B
HISTORY/SOCIAL SCIENCE
94322A – World Geography A
94322B – World Geography B
94397A – World History and Cultures A
94397B – World History and Cultures B
HISTORY/SOCIAL SCIENCE (CONT)
94074A – US History A
94074B – US History B
SCIENCE
92105A – Biology A
92105B – Biology B
92111A – Chemistry A
92111B – Chemistry B
FOREIGN LANGUAGE
91203A – French 1-A
***Bilingual
91203B – French 2-B
Classes
91205A – French 3-A
Available***
91205B – French 4-B
91224A – Spanish 1-A
91224B – Spanish 2-B
91226A – Spanish 3-A
91226B – Spanish 4-B
91256A – Spanish for Spanish Spkrs 1-A
91256B – Spanish for Spanish Spkrs 2-B
91258A – Spanish for Spanish Spkrs 3-A
91258B – Spanish for Spanish Spkrs 4-B
HEALTH
94010 – Comprehensive Health
Please write the course number(s) of your choice in the spaces below.
1st: _____________________ 2nd: ___________________Alternative Choice: __________________
*When looking at COURSE SELECTION, an “A” is equal to Semester One and a “B” is equal to Semester Two.
**First priority will be given to students who have received an “F”. SPACE IS LIMITED.
I give approval for my son/daughter to attend classes during the summer session. I understand that my son/daughter
will be required to complete a minimum of 22 hours of homework.
Counselor’s Signature: __________________________________________________
Date:___________________
Parent/Guardian Signature: ______________________________________________
Date:__________________
Sweetwater Union High School District
EMERGENCY AUTHORIZATION
Student Name:____________________________________________
Address:_____________________________________________
Age:__________
DOB:______/______/______
City:_______________________
Zip:____________
Parent/Guardian Name: ________________________________ Telephone: H ________________ C ________________
If other than parents, please indicate who has custody of child and/or if any person other than yourself should pick up
the child from school. (Must be 18 years of age or older) In case of an emergency, illness or accident, indicate a relative
or friend who would be authorized to transport your child.
Name:____________________________________Relationship:__________________ Telephone:___________________
Name:____________________________________Relationship:__________________ Telephone:___________________
Name:____________________________________Relationship:__________________ Telephone:___________________
PHYSICIAN TO CALL IN EMERGENCY:_________________________________________Telephone:___________________
Address:__________________________________________
City:__________________________
Zip:____________
Insurance:________________________________________
Medical Record Number:___________________________
In the event of an emergency, your child will be transported to the nearest hospital.
Remarks (Physical conditions which may need special care):__________________________________________________
California State Law requires that the parent inform the school nurse if their child takes medication on a continuous
basis for a non-episodic condition (Epilepsy, Diabetes, Hyperactivity, etc.)
My permission ☐ is given ☐ is not given (check appropriate box) to allow my child to be photographed, videotaped
and/or interviewed at school-related events for the media (TV, radio and newspapers) or for promotional material,
including Sweetwater District newsletters, brochures and websites.
My permission is given to share medical information with school staff in order to provide optimal health care for my
student.
Parent/Guardian Signature: __________________________________________________
Date:___________________