ARDENNE HIGH SCHOOL GRADE 12 APPLICATION FORM 2015-2016 1. APPLICANT’S PERSONAL DATA: Name: Last First Middle Date of Birth: Day Month Year Age: Years Months Address: ARDENNE HIGH SCHOOL GRADE 12 APPLICATION FORM 2015 - 2016 PASTE PHOTO HERE
ARDENNE HIGH SCHOOLGRADE 12 APPLICATION FORM
2015-2016
1. APPLICANT’S PERSONAL DATA:
Name:
Last First Middle
Date of Birth:
Day Month Year
Age:
Years Months
Address:
Telephone Number:
Home: ………………………….. Cell: …………………………………..
E-mail address: ………………………..………………………………………….
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
PASTEPHOTOHERE
Last High School attended: …………………………………………………………………
Positions of responsibility:
…………………………………………………………
………………………………………………………….
………………………………………………………….
………………………………………………………….
Extra-curricular activities:
………………………………………………………….
………………………………………………………….
………………………………………………………….
………………………………………………………….
Community Service/Work Experience:
…….…………………………………………………….
………………………………………………………….
………………………………………………………….
………………………………………………………….
2. PARENTS’ / GUARDIANS’ DATA
Names of Parents or Guardians:
Home Address:
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
Work Address:
Contact Information:
Home: ………………………..………………….. Cell: ………………………..……………………..
Work: ……………………………………………..
E-mail address: ……………………………..………………………………………….
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
3. EXAMINATION RESULTS: Fill in the spaces below with the relevant information:
Subjects taken
Exam type
(GCE/CSEC)
Proficiency/
Level
Year
taken
Grade
obtained
4. SUBJECT SELECTION
Select FOUR subjects, ONE from each POOL, from the table below*. Choose your fourth subject with care. If you cannot be given your first three choices this subject will be assigned to you. Failure to list a fourth choice may result in subjects being assigned wherever the available space is.
POOL B POOL C POOL D POOL E POOL FBiology Chemistry Mathematics Geography Chemistry
Law Computer Studies Management of Business
Art and Design Accounting
Environmental Science
Sociology Building Mechanical and Engineering Drawing
Food and Nutrition Literatures in English
Physics Physics Spanish French BiologyEconomics *Agricultural
ScienceEntrepreneurship History Mathematics
*Performing Arts Communication studies
Digital Media
Communication Studies
Communication Studies
Communication Studies
Communication Studies
Communication Studies
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
* Pool Formation – Subject to change
LIST YOUR SUBJECT CHOICE IN ORDER OF PREFERENCE
Communication Studies Pool…………………………………………………………
First choice …………………………………………………………………………
Second choice …………………………………………………………………………
Third choice ……………………………………….…………………………………
Fourth choice ………………………………………………………………………….
Career choice (1)…………………………………. or (2)………….…………………
5. In no more than two paragraphs, state why you would like to attend this school.
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
…………………………………………………………………………………………………
………………………………………………………………………………………………....
Signature of applicant ……………………………………………. Date ………………….……….
For Official Use Only
Score attained:
Decision taken:
Accepted
Not Accepted
Signature:
……………………………….................... ……………………
Supervisor Date
……………………………………………. …………………….
Vice – Principal Date
(Upper school)
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
ARDENNE HIGH SCHOOLGRADE 12
EVALUATION FORMS
TO BE COMPLETED BY
TRANSFER APPLICANTS
ONLY
Instructions: Please fill in your relevant information in the
evaluation forms below and give the forms to (a) the Principal or
Vice-Principal and (b) Subject Teacher. Return BOTH evaluation
forms with your application.
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
PRINCIPAL EVALUATION
TO THE APPLICANT
Fill in the information below and give this form to the Principal or Vice-Principal of your present high school for him/her to complete.
Name ……………………………………………………………………………….
School ……………………………………………………………………………...
Gender ……………………………………
TO THE PRINCIPAL OR VICE-PRINCIPAL
Please complete this form and return to the student. Place completed form in a sealed envelope; affix your signature, stamp and/or seal to the flap. We are grateful for your assistance.
Name ………………………………………………………………………………………….
School …………………………………………………………………………………………
School’s Address ……………………………………………………………………………...
……………………………………………………………………………...
Position …………………………………………………………………………..……………
Phone number……………………… E-mail address ….........................................................
BACKGROUND INFORMATION
1. How long have you known this student and in what capacity?
……………………………………………………………………………………………………
……………………………………………………………………………………………………
2. What are the first words that come to mind to describe this student?
……………………………………………………………………………………………………
………………………………………………………………………………………….................
3. On a scale of 1 – 6, with 6 being the highest, rate the student on the following traits:ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
1- below average 2 – above average 3 – Good 4 – very good
5 – excellent 6 – outstanding N/A – cannot assess
1 2 3 4 5 6 N/A
Influence and leadership
Response to authority
Shows respect for adults
Disciplined work habits
Responsibility
Integrity
Deportment
Academic achievement
Punctuality (to school and classes)
Attendance (to school and classes)
4. Describe the quality of the applicant’s overall performance and leadership in:
(a) Extra-curricular Activities
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
(b) Community Service/Work Experience:
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
.
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
5. Has the applicant in question ever been suspended or placed on probation for academic or disciplinary reasons? Yes …… No…… (If yes, please explain.)
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
6. Please write any additional information about this student that you think is important.
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
7. Has this student, to your knowledge, been involved with alcohol, drugs, tobacco, cheating, stealing, or sexual immorality? Yes ………. No ………
Character recommendation:
Enthusiastic ……. Highly recommended ……… Without enthusiasm …….
Not recommended ……….
Academic recommendation:
Enthusiastic …….. Highly recommended ……… Without enthusiasm ……..
Not recommended ……….
Signature ………………………………………………. Date………………………….
Please affix school stamp here.
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
SUBJECT TEACHER EVALUATION
TO THE APPLICANT
Fill in the information below and give this form to your subject teacher of your present high school for him/her to complete.
Name ……………………………………………………………………………….
School ………………………………………………………………………………
Gender ……………………………………
TO THE TEACHER
Please complete this form and return to the student. Place completed form in a sealed envelope; affix your signature, stamp and/or seal to the flap. We are grateful for your assistance.
Name ………………………………………………………………………………………….
School …………………………………………………………………………………………
School’s Address ………………………………………………………………………………
………………………………………………………………………………
Position ………………………………………………………………………………………
Phone number……………………… E-mail address ……......................................................
BACKGROUND INFORMATION
1. How long have you known this student and in what capacity?
…………………………………………………………………………………………………
…………………………………………………………………………………………………
2. What are the first words that come to your mind to describe this student?
…………………………………………………………………………………………………
………………………………………………………………………………………………....
.
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
4. On a scale of 1 – 6, with 6 being the highest, rate the student on the following traits.
1- below average 2 – above average 3 – Good 4 – very good
5 – excellent 6 – outstanding N/A – cannot assess
1 2 3 4 5 6 N/A
Influence and leadership
Response to authority
Shows respect for adults
Disciplined work habits
Responsibility
Integrity
Deportment
Academic achievement
Punctuality (to school and classes)
Attendance (to school and classes)
Completes all assignments on time
Participates in class discussion
Respects property of others
4. Describe the quality of the applicant’s overall performance and leadership in your subject
class:…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016
5. Did the applicant complete and submit all School Based Assignment/s (SBA/s) on time? Yes …….. No ……..
6. Did the applicant complete and submit most/all class assignments on time?Yes …….. No ……..
7. Has this student, to your knowledge, been involved with alcohol, drugs, tobacco, cheating, stealing, or sexual immorality? …………………………………………………………………………………………….
8. Please write any additional information about this student that you think is important.
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
Character recommendation:
Enthusiastic …….. Highly recommended ……… without enthusiasm ……..
Not recommended ……….
Academic recommendation:
Enthusiastic …….. Highly recommended ……… without enthusiasm ……..
Not recommended ……….
Signature ………………………………………………. Date………………………….
Please affix school stamp here.
ARDENNE HIGH SCHOOL
GRADE 12 APPLICATION FORM 2015 - 2016