OHS Specific Course Application - 2012-13
Content
SPECIFIC COURSE APPLICATION 2012 - 2013 IMPORTANT – PLEASE READ:
This application is for students who would like to be considered for admission only to a specific course, or a single course in a specific sequence of courses. Students must indicate on their applications for which course (or sequence) they are applying, and will be considered for admission only to this specified course (or sequence). If a students admitted to a specific course would like to take additional courses at the Online High School at a later time, he or she will need to undergo an additional application process. Students interested in applying for admission to take a single course in an unspecified discipline, or interested in enrolling full-time or part-time should complete the General Application. For more information regarding enrollment options and the application types, please visit our Admission web site. Applications are currently being accepted on a rolling basis for the 2012-13 academic year as space permits. The earlier an applicant submits an application the higher the priority it will be given in the review, financial aid, and course enrollment and scheduling processes. SUBMISSION INSTRUCTIONS INSTRUCTIONS Application materials may be submitted as follows: By mail to: Director of Admission Online High School at Stanford University 220 Panama Street Stanford, CA 94305-4101
By e-mail to: [email protected] By fax to: (650) 618-1929 Attn: Director of Admission
If you have a change of telephone number, email address, or mailing address, please contact the Admission office at [email protected].
All application materials to the Online High School will be treated as confidential documents. We cannot return any materials; please use discretion in sending original documents.
Please keep a copy of your application and all supporting materials. r. 2/22/12
Specific Course Application
Applicant Name: ____________________________ OHS Applicant Number: _____________________
APPLICATION CHECKLIST The application packet contains the following forms: 1. Application (pp. 1-8) 2. Candidate Statement (p. 6) 3. Request for Academic Records (p. 7) 4. Parent Questionnaire (p. 8) 5. Standardized Examination Results (p. 9) 6. Teacher Recommendation Form (pp. 10-11) A complete application consists of the following: To be submitted by the student or parents: ! Application (pp. 1-8) ! Application fee of $50 paid by check or money order made payable to: Stanford University ! Candidate Statement (p. 6) ! Parent Questionnaire (p. 8) ! Standardized Examination Results (p. 9)
In preparing your application for submission, please: Use black or blue colored ink (not pencil) Do not use staples or tape Do not use presentation folders or binders For hard copy submissions, print each page on a single side • • • •
To be submitted by teachers or schools: ! Teacher Recommendation Form sent directly to OHS by at least two teachers who are qualified to comment on the applicant’s academic work as described on pages 10-11 Note: Students applying for a specific course should submit a recommendation from a teacher in a discipline relevant to the course for which the student is applying. ! Transcripts or academic records from all schools attended in the last three years as described on page 7 Placement Test and Interview Candidates may be asked to take a proctored placement exam to determine their eligibility for the course for which they are applying. In some cases, candidates may also receive a request for an interview with a member of the Admission Committee. If either of these is determined necessary, the applicant will be contacted with further instructions.
The Admission Committee reserves the right to request additional information if deemed necessary to evaluate an applicant’s candidacy.
r. 2/22/12
Specific Course Application
Applicant Name: ____________________________ OHS Applicant Number: _____________________
APPLICATION FEE AND SIGNATURES PAGE Application Fee ! Enclose application fee of $50 paid by check or money order made payable to:Stanford University. ! I am requesting a waiver of the application fee. Financial Aid ! Check this box if you intend to apply for financial aid. ! Check this box if you do not intend to apply for financial aid.
Financial aid applications are evaluated independently of admissions applications. We will send financial aid information to families who indicate that they are interested in applying for financial aid.
To be read and signed by the applicant:
I, ___________________________________, have truthfully represented myself on this application. Answers to the questions and the work I am submitting are m inealone. I understand that if I am accepted to the Online High School at Stanford University, any misrepresentation in my application materials is grounds for expulsion. Applicant Signature: ________________________________________________
Date: _______________
To be read and signed by the applicant’s parent or legal guardian:
I, ______________________________________, have carefully reviewed my child’s application, including all work samples, transcripts, score reports, and other attachments. To the best of my knowledge, all information included here is correct, and the work that my child is submitting is his or her own. I understand that any misrepresentation in this application is grounds for expulsion from the Online High School at Stanford University. Parent/Guardian Signature: __________________________________________
r. 2/22/12
Date: ________________
Specific Course Application ! Page 1 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
FAMILY CONTACT INFORMATION Student Information
Name: _____________________________________________________________________ First Name
Middle Name
Date of Birth: ____________________
Sex: _________________
Last or Family Name
Place of birth: ____________________
Citizenship: __________________
Street Address: _____________________________________________________________________________________ City: __________________________ State: _________ Postal Code: ______________ Country: _______________ Home Phone Number: ______________________________
Cell Phone Number: ____________________________
Email: _____________________________________________________________________________________________ Parent/Guardian Information
Name: _____________________________________________________ First Name
Middle Name
Relation to Student: ___________________
Last or Family Name
Street Address: _____________________________________________________________________________________ City: __________________________ State: _________ Postal Code: ______________ Country: _______________ Home Phone: _____________________ Work Phone: ____________________ Cell Phone: ____________________ Email: _____________________________________________________________________________________________ Occupation: _________________________________
Colleges Attended: ____________________________________
Name: _____________________________________________________ First Name
Middle Name
Relation to Student: ___________________
Last or Family Name
Street address: ______________________________________________________________________________________ City: __________________________ State: _________ Postal Code: ______________ Country: _______________ Home Phone: _____________________ Work Phone: ____________________ Cell Phone: ____________________ Email: _____________________________________________________________________________________________ Occupation: _________________________________
Colleges Attended: ____________________________________
Sibling Information (please attach additional sheet if necessary)
Sibling’s Name: _______________________________________________
Date of Birth: _______________________
School Attending: ___________________________________________________________________________________ Sibling’s Name: _______________________________________________
Date of Birth: _______________________
School Attending: ___________________________________________________________________________________
r. 2/22/12
Specific Course Application ! Page 2 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
ACADEMIC BACKGROUND Applicant’s Current School
Name of School: ______________________________________________
Current Grade Level (in 2011-12): _____
Name of Principal or Headmaster: _____________________________________________________________________ School Address: _____________________________________________________________________________________ School Telephone Number: __________________________________
Years of Attendance: ____________________
Please list all schools which you have attended. Name of School
Location
Dates Attended
Reason for Leaving
If this student has skipped a year, been out of school for a semester or more, or if there is anything else about his/her school enrollment we should know, please describe it here or on a separate sheet:
EXTRACURRICULAR ACADEMIC EXPERIENCE Please list all relevant academic contests and competitions in which you have participated: Name of Contest or Competition
r. 2/22/12
Score or Outcome
Date(s) of Participation
Specific Course Application ! Page 3 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
Please list all academic summer programs and/or programs for gifted students you have attended.
Name of Program
Subject(s) Studied
Dates Attended
Competitive Admission? (Y/N)
Please share any additional information about your experience with academic summer programs you feelis relevant to your application.
Please list all online courses or programs you have taken. Name of Institution of Program
Course(s) Taken
Dates Attended
Grade in Course(s)
Please share any information regarding your experience with online courses that you feelis relevant to your application.
r. 2/22/12
Specific Course Application ! Page 4 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
ACADEMIC PLANNING FOR 2012-13 OHS Course Selection
Indicate which course you are applying to take at the Online High School. Course Title
Course Code
For a list of courses and their descriptions, please see: epgy.stanford.edu/ohs/courses.html
Other Academic Work
Please list all other schools, if any, this student plans to attend during the upcoming school year: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________
Other Courses to be taken in 2012-13
School where course will be taken
Please include any additional comments regarding academic planning for this student:
r. 2/22/12
Specific Course Application ! Page 5 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
CANDIDATE STATEMENT Please respond to the following questions in a single written statement in the space below: 1. Why do you want to take the course for which you are applying? 2. How does it fit into your broader academic experience? 3. Why do you want to take this course at the Online High School? 4. How will you adapt to working independently and to working online rather than in a traditional classroom? How will you manage your time within a less structured schedule? What strategies would you employ if you hit a roadblock on an assignment? Please use examples from your personal experience to illustrate your answer.
r. 2/22/12
Specific Course Application ! Page 6 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
REQUEST FOR ACADEMIC RECORDS TO THE APPLICANT
We require transcripts or other academic records of the student’s academic performance for the most recent three years of schooling. Unofficial copies (photocopies, printouts, faxed copies, etc.) of transcripts and records are generally acceptable. Unofficial copies must bear the official insignia of the school or its equivalent. If necessary, the Admission Committee will request an official copy of the documentation from you. Families of homeschooled children are encouraged to submit a “Plan of Study” document in lieu of transcripts. The “Plan of Study” should outline the academic subjects covered in each year of homeschooling for the last three years, including the titles and publishers of any textbooks used, the names of any novels or other books read, descriptions of major projects and assessments, etc. The “Plan of Study” should be limited to two pages for each year of homeschooling. If you intend to submit an official transcript, please fill out the information below and provide a copy of this form to each institution the student has attended in the past three years. Student Name: _____________________________________________________________________________________ Street Address: _____________________________________________________________________________________ City: _________________________ State: _________ Postal Code: ___________ Country: ___________________ Preferred Phone Number: ________________________
Secondary Phone Number: __________________________
I hereby give permission for the release of my child’s school records as requested by the Online High School at Stanford University. Name of Student: _______________________________________________
Date of Birth: ___________________
Signature of Parent or Guardian: __________________________________________
Date: __________________
TO THE SCHOOL The above named student has applied for admission to the Online High School at Stanford University. Please submit an official copy of his or her transcript or record of grades together with any standardized test scores that are available. Please send this information by mail to: Director of Admission Online High School at Stanford University 220 Panama Street Stanford, CA 94305-4101
r. 2/22/12
Specific Course Application ! Page 7 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
PARENT QUESTIONNAIRE Name of parent(s) completing this form: _______________________________________________________________ Relation to Student: ______________________________________________________
Date: ___________________
Parents: To help us get to know your child, please answer the questions below. Feel free to attach additional pages or a typed letter if you need more space.
How would you describe your child’s personality?
What type of school is your child currently enrolled in (public, private, homeschool, etc.)? Why did you make this decision?
What are your expectations for your child during his or her time at the OHS?
Please explain why you think OHS would be a good fit for your child.
How much time does your child currently spend on his/her academic subjects outside of the classroom?
How well does your child manage his/her time and work independently?
How does your child respond to challenges?
Describe any areas in which your child may need support.
How do you view your role as a parent in contributing to your child’s success?
It is important that parents and schools have a good working relationship. What kind of feedback do you typically give your child’s school? Please give examples.
r. 2/22/12
Specific Course Application ! Page 8 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
STANDARDIZED EXAMINATION RESULTS Please include standardized examination results with your OHS application. Unofficial copies (photocopies, printouts, faxed copies, etc.) of the results are generally acceptable. If necessary, the Admission Committee will request an official copy of the documentation from you. A list of common standardized tests appears below. Standardized tests often taken by high school students:
ACT – American College Testing Examination: www.actstudent.org PSAT – College Board Exam: www.collegeboard.com/student/testing/psat/about.html SAT – College Board Exam: www.collegeboard.com/student/testing/sat/about.html
Standardized tests often taken by middle school or junior high school students:
ISEE – Independent School Entrance Examination: www.erbtest.org/parents/admissions/isee SCAT – School and College Ability Test: cty.jhu.edu/gifted/dcc/SCAT.html SSAT – Secondary School Admission Test: www.ssat.org/ssat/info/home.html
In addition to the above tests, applicants may submit results from other nationally-administered examinations to provide further documentary evidence of ability.
Should you have any questions regarding standardized test scores, please contact theAdmission Office.
r. 2/22/12
Specific Course Application ! Page 9 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
TEACHER RECOMMENDATION FORM (Page 1 of 2) TO THE APPLICANT We request one teacher recommendation from a teacher in the discipline relevant to the course for which you are applying. After completing the information below and signing the waiver statement, give a copy of this form to each teacher from whom you request a recommendation. Please note that we will not accept any recommendation form without a signed waiver statement. The Online High School strongly believes that confidential recommendations are essential to obtaining accurate information from teachers. Name: _____________________________________________________________________________________________________________________ Last/Family First/Given Middle Email Address: ______________________________________________________________________________________________________________
Waiver Statement: We, the student applying to the Online High School and parents of this student, waive our right to view this recommendation. Student Signature: _______________________________________________________________________ Parent/Guardian Signature: _______________________________________________________________
Date:_____________________________ Date:_____________________________
TO THE TEACHER Please fill out the form below and on the second page, and include further comments about the student in the space provided. We appreciate any information that you feel is relevant to determining whether the applicant is suited for the Online High School at Stanford University (OHS). Because the academic program at the OHS is demanding and fast-paced, students need to be emotionally and socially mature, intellectually very able, and independent in their learning style to succeed. We are interested in admitting students who can contribute to and lead classroom discussions, work independently and collaboratively on projects, excite others with their ideas, and enjoy their education. Thus, we are interested in your impressions of the student's personal maturity as well as his or her academic ability. The form should not be returned to the applicant’s family. You may wish to keep a copy of the completed form for approximately one month in case the envelope does not reach the Admission Office. Fax: 1-650-618-1929 Email: [email protected] Mailing address: Admission Office, Stanford University Online High School, 220 Panama St., Stanford, CA 94305-4101
Teacher's Name: _____________ _____________ ___________ Please print or type
Subject Taught: ____________ _____________ ____
Signature: ______________________________________________________________________________ School:
Date:_____________________________
_____________________________________________________________________________________________________________________
School Address: _____________________________________________________________________________________________________________ Number & Street City/Town State/Province Country ZIP/Postal Code Teacher Phone: (_____)________ ____________ ____________ _________
Teacher Email: ____________ ____________ _____________ _________
How long have you known the student and in what context? Please list the courses you have taught this student, noting for each the student's year in school and the level of course difficulty (e.g. AP, IB, accelerated, honors, elective).
What are the first words that come to your mind to describe this student?
r. 2/22/12
Specific Course Application ! Page 10 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
TEACHER RECOMMENDATION FORM (Page 2 of 2) Ratings
Compared to other students in his or her class year, how do you rate this student in terms of the following characteristics? Please mark the correct box for each row with an "X" to denote your rating No basis
Below Average
Good (above average)
Average
Very good (well above average)
Excellent (top 10%)
Outstanding (top 5%)
One of the top few I've encountered (top 1%)
Academic achievement Intellectual promise Quality of writing Creative, original thought Productive class discussion Disciplined work habits Maturity Motivation Leadership Integrity Reaction to setbacks Concern for others Self-confidence Initiative, independence
Overall recommendation Please indicate the level to which you would recommend the applicant (check one). !
Not recommended
!
Recommended
!
Highly recommended
!
Very highly recommended
Evaluation
Please write whatever you think is important about this student, including a description of academic personal characteristics, as demonstrated in the classroom. Because many exceptional students apply to the OHS, we welcome information that will help us differentiate this student from others. Feel free to attach an additional sheet or another reference you may have prepared on behalf of this student.
We truly appreciate your time and thoughtfulness in commenting on this applicant. Thank you! r. 2/22/12
Specific Course Application ! Page 11 of 11
This application is for students who would like to be considered for admission only to a specific course, or a single course in a specific sequence of courses. Students must indicate on their applications for which course (or sequence) they are applying, and will be considered for admission only to this specified course (or sequence). If a students admitted to a specific course would like to take additional courses at the Online High School at a later time, he or she will need to undergo an additional application process. Students interested in applying for admission to take a single course in an unspecified discipline, or interested in enrolling full-time or part-time should complete the General Application. For more information regarding enrollment options and the application types, please visit our Admission web site. Applications are currently being accepted on a rolling basis for the 2012-13 academic year as space permits. The earlier an applicant submits an application the higher the priority it will be given in the review, financial aid, and course enrollment and scheduling processes. SUBMISSION INSTRUCTIONS INSTRUCTIONS Application materials may be submitted as follows: By mail to: Director of Admission Online High School at Stanford University 220 Panama Street Stanford, CA 94305-4101
By e-mail to: [email protected] By fax to: (650) 618-1929 Attn: Director of Admission
If you have a change of telephone number, email address, or mailing address, please contact the Admission office at [email protected].
All application materials to the Online High School will be treated as confidential documents. We cannot return any materials; please use discretion in sending original documents.
Please keep a copy of your application and all supporting materials. r. 2/22/12
Specific Course Application
Applicant Name: ____________________________ OHS Applicant Number: _____________________
APPLICATION CHECKLIST The application packet contains the following forms: 1. Application (pp. 1-8) 2. Candidate Statement (p. 6) 3. Request for Academic Records (p. 7) 4. Parent Questionnaire (p. 8) 5. Standardized Examination Results (p. 9) 6. Teacher Recommendation Form (pp. 10-11) A complete application consists of the following: To be submitted by the student or parents: ! Application (pp. 1-8) ! Application fee of $50 paid by check or money order made payable to: Stanford University ! Candidate Statement (p. 6) ! Parent Questionnaire (p. 8) ! Standardized Examination Results (p. 9)
In preparing your application for submission, please: Use black or blue colored ink (not pencil) Do not use staples or tape Do not use presentation folders or binders For hard copy submissions, print each page on a single side • • • •
To be submitted by teachers or schools: ! Teacher Recommendation Form sent directly to OHS by at least two teachers who are qualified to comment on the applicant’s academic work as described on pages 10-11 Note: Students applying for a specific course should submit a recommendation from a teacher in a discipline relevant to the course for which the student is applying. ! Transcripts or academic records from all schools attended in the last three years as described on page 7 Placement Test and Interview Candidates may be asked to take a proctored placement exam to determine their eligibility for the course for which they are applying. In some cases, candidates may also receive a request for an interview with a member of the Admission Committee. If either of these is determined necessary, the applicant will be contacted with further instructions.
The Admission Committee reserves the right to request additional information if deemed necessary to evaluate an applicant’s candidacy.
r. 2/22/12
Specific Course Application
Applicant Name: ____________________________ OHS Applicant Number: _____________________
APPLICATION FEE AND SIGNATURES PAGE Application Fee ! Enclose application fee of $50 paid by check or money order made payable to:Stanford University. ! I am requesting a waiver of the application fee. Financial Aid ! Check this box if you intend to apply for financial aid. ! Check this box if you do not intend to apply for financial aid.
Financial aid applications are evaluated independently of admissions applications. We will send financial aid information to families who indicate that they are interested in applying for financial aid.
To be read and signed by the applicant:
I, ___________________________________, have truthfully represented myself on this application. Answers to the questions and the work I am submitting are m inealone. I understand that if I am accepted to the Online High School at Stanford University, any misrepresentation in my application materials is grounds for expulsion. Applicant Signature: ________________________________________________
Date: _______________
To be read and signed by the applicant’s parent or legal guardian:
I, ______________________________________, have carefully reviewed my child’s application, including all work samples, transcripts, score reports, and other attachments. To the best of my knowledge, all information included here is correct, and the work that my child is submitting is his or her own. I understand that any misrepresentation in this application is grounds for expulsion from the Online High School at Stanford University. Parent/Guardian Signature: __________________________________________
r. 2/22/12
Date: ________________
Specific Course Application ! Page 1 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
FAMILY CONTACT INFORMATION Student Information
Name: _____________________________________________________________________ First Name
Middle Name
Date of Birth: ____________________
Sex: _________________
Last or Family Name
Place of birth: ____________________
Citizenship: __________________
Street Address: _____________________________________________________________________________________ City: __________________________ State: _________ Postal Code: ______________ Country: _______________ Home Phone Number: ______________________________
Cell Phone Number: ____________________________
Email: _____________________________________________________________________________________________ Parent/Guardian Information
Name: _____________________________________________________ First Name
Middle Name
Relation to Student: ___________________
Last or Family Name
Street Address: _____________________________________________________________________________________ City: __________________________ State: _________ Postal Code: ______________ Country: _______________ Home Phone: _____________________ Work Phone: ____________________ Cell Phone: ____________________ Email: _____________________________________________________________________________________________ Occupation: _________________________________
Colleges Attended: ____________________________________
Name: _____________________________________________________ First Name
Middle Name
Relation to Student: ___________________
Last or Family Name
Street address: ______________________________________________________________________________________ City: __________________________ State: _________ Postal Code: ______________ Country: _______________ Home Phone: _____________________ Work Phone: ____________________ Cell Phone: ____________________ Email: _____________________________________________________________________________________________ Occupation: _________________________________
Colleges Attended: ____________________________________
Sibling Information (please attach additional sheet if necessary)
Sibling’s Name: _______________________________________________
Date of Birth: _______________________
School Attending: ___________________________________________________________________________________ Sibling’s Name: _______________________________________________
Date of Birth: _______________________
School Attending: ___________________________________________________________________________________
r. 2/22/12
Specific Course Application ! Page 2 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
ACADEMIC BACKGROUND Applicant’s Current School
Name of School: ______________________________________________
Current Grade Level (in 2011-12): _____
Name of Principal or Headmaster: _____________________________________________________________________ School Address: _____________________________________________________________________________________ School Telephone Number: __________________________________
Years of Attendance: ____________________
Please list all schools which you have attended. Name of School
Location
Dates Attended
Reason for Leaving
If this student has skipped a year, been out of school for a semester or more, or if there is anything else about his/her school enrollment we should know, please describe it here or on a separate sheet:
EXTRACURRICULAR ACADEMIC EXPERIENCE Please list all relevant academic contests and competitions in which you have participated: Name of Contest or Competition
r. 2/22/12
Score or Outcome
Date(s) of Participation
Specific Course Application ! Page 3 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
Please list all academic summer programs and/or programs for gifted students you have attended.
Name of Program
Subject(s) Studied
Dates Attended
Competitive Admission? (Y/N)
Please share any additional information about your experience with academic summer programs you feelis relevant to your application.
Please list all online courses or programs you have taken. Name of Institution of Program
Course(s) Taken
Dates Attended
Grade in Course(s)
Please share any information regarding your experience with online courses that you feelis relevant to your application.
r. 2/22/12
Specific Course Application ! Page 4 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
ACADEMIC PLANNING FOR 2012-13 OHS Course Selection
Indicate which course you are applying to take at the Online High School. Course Title
Course Code
For a list of courses and their descriptions, please see: epgy.stanford.edu/ohs/courses.html
Other Academic Work
Please list all other schools, if any, this student plans to attend during the upcoming school year: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________
Other Courses to be taken in 2012-13
School where course will be taken
Please include any additional comments regarding academic planning for this student:
r. 2/22/12
Specific Course Application ! Page 5 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
CANDIDATE STATEMENT Please respond to the following questions in a single written statement in the space below: 1. Why do you want to take the course for which you are applying? 2. How does it fit into your broader academic experience? 3. Why do you want to take this course at the Online High School? 4. How will you adapt to working independently and to working online rather than in a traditional classroom? How will you manage your time within a less structured schedule? What strategies would you employ if you hit a roadblock on an assignment? Please use examples from your personal experience to illustrate your answer.
r. 2/22/12
Specific Course Application ! Page 6 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
REQUEST FOR ACADEMIC RECORDS TO THE APPLICANT
We require transcripts or other academic records of the student’s academic performance for the most recent three years of schooling. Unofficial copies (photocopies, printouts, faxed copies, etc.) of transcripts and records are generally acceptable. Unofficial copies must bear the official insignia of the school or its equivalent. If necessary, the Admission Committee will request an official copy of the documentation from you. Families of homeschooled children are encouraged to submit a “Plan of Study” document in lieu of transcripts. The “Plan of Study” should outline the academic subjects covered in each year of homeschooling for the last three years, including the titles and publishers of any textbooks used, the names of any novels or other books read, descriptions of major projects and assessments, etc. The “Plan of Study” should be limited to two pages for each year of homeschooling. If you intend to submit an official transcript, please fill out the information below and provide a copy of this form to each institution the student has attended in the past three years. Student Name: _____________________________________________________________________________________ Street Address: _____________________________________________________________________________________ City: _________________________ State: _________ Postal Code: ___________ Country: ___________________ Preferred Phone Number: ________________________
Secondary Phone Number: __________________________
I hereby give permission for the release of my child’s school records as requested by the Online High School at Stanford University. Name of Student: _______________________________________________
Date of Birth: ___________________
Signature of Parent or Guardian: __________________________________________
Date: __________________
TO THE SCHOOL The above named student has applied for admission to the Online High School at Stanford University. Please submit an official copy of his or her transcript or record of grades together with any standardized test scores that are available. Please send this information by mail to: Director of Admission Online High School at Stanford University 220 Panama Street Stanford, CA 94305-4101
r. 2/22/12
Specific Course Application ! Page 7 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
PARENT QUESTIONNAIRE Name of parent(s) completing this form: _______________________________________________________________ Relation to Student: ______________________________________________________
Date: ___________________
Parents: To help us get to know your child, please answer the questions below. Feel free to attach additional pages or a typed letter if you need more space.
How would you describe your child’s personality?
What type of school is your child currently enrolled in (public, private, homeschool, etc.)? Why did you make this decision?
What are your expectations for your child during his or her time at the OHS?
Please explain why you think OHS would be a good fit for your child.
How much time does your child currently spend on his/her academic subjects outside of the classroom?
How well does your child manage his/her time and work independently?
How does your child respond to challenges?
Describe any areas in which your child may need support.
How do you view your role as a parent in contributing to your child’s success?
It is important that parents and schools have a good working relationship. What kind of feedback do you typically give your child’s school? Please give examples.
r. 2/22/12
Specific Course Application ! Page 8 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
STANDARDIZED EXAMINATION RESULTS Please include standardized examination results with your OHS application. Unofficial copies (photocopies, printouts, faxed copies, etc.) of the results are generally acceptable. If necessary, the Admission Committee will request an official copy of the documentation from you. A list of common standardized tests appears below. Standardized tests often taken by high school students:
ACT – American College Testing Examination: www.actstudent.org PSAT – College Board Exam: www.collegeboard.com/student/testing/psat/about.html SAT – College Board Exam: www.collegeboard.com/student/testing/sat/about.html
Standardized tests often taken by middle school or junior high school students:
ISEE – Independent School Entrance Examination: www.erbtest.org/parents/admissions/isee SCAT – School and College Ability Test: cty.jhu.edu/gifted/dcc/SCAT.html SSAT – Secondary School Admission Test: www.ssat.org/ssat/info/home.html
In addition to the above tests, applicants may submit results from other nationally-administered examinations to provide further documentary evidence of ability.
Should you have any questions regarding standardized test scores, please contact theAdmission Office.
r. 2/22/12
Specific Course Application ! Page 9 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
TEACHER RECOMMENDATION FORM (Page 1 of 2) TO THE APPLICANT We request one teacher recommendation from a teacher in the discipline relevant to the course for which you are applying. After completing the information below and signing the waiver statement, give a copy of this form to each teacher from whom you request a recommendation. Please note that we will not accept any recommendation form without a signed waiver statement. The Online High School strongly believes that confidential recommendations are essential to obtaining accurate information from teachers. Name: _____________________________________________________________________________________________________________________ Last/Family First/Given Middle Email Address: ______________________________________________________________________________________________________________
Waiver Statement: We, the student applying to the Online High School and parents of this student, waive our right to view this recommendation. Student Signature: _______________________________________________________________________ Parent/Guardian Signature: _______________________________________________________________
Date:_____________________________ Date:_____________________________
TO THE TEACHER Please fill out the form below and on the second page, and include further comments about the student in the space provided. We appreciate any information that you feel is relevant to determining whether the applicant is suited for the Online High School at Stanford University (OHS). Because the academic program at the OHS is demanding and fast-paced, students need to be emotionally and socially mature, intellectually very able, and independent in their learning style to succeed. We are interested in admitting students who can contribute to and lead classroom discussions, work independently and collaboratively on projects, excite others with their ideas, and enjoy their education. Thus, we are interested in your impressions of the student's personal maturity as well as his or her academic ability. The form should not be returned to the applicant’s family. You may wish to keep a copy of the completed form for approximately one month in case the envelope does not reach the Admission Office. Fax: 1-650-618-1929 Email: [email protected] Mailing address: Admission Office, Stanford University Online High School, 220 Panama St., Stanford, CA 94305-4101
Teacher's Name: _____________ _____________ ___________ Please print or type
Subject Taught: ____________ _____________ ____
Signature: ______________________________________________________________________________ School:
Date:_____________________________
_____________________________________________________________________________________________________________________
School Address: _____________________________________________________________________________________________________________ Number & Street City/Town State/Province Country ZIP/Postal Code Teacher Phone: (_____)________ ____________ ____________ _________
Teacher Email: ____________ ____________ _____________ _________
How long have you known the student and in what context? Please list the courses you have taught this student, noting for each the student's year in school and the level of course difficulty (e.g. AP, IB, accelerated, honors, elective).
What are the first words that come to your mind to describe this student?
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Specific Course Application ! Page 10 of 11
Applicant Name: ____________________________ OHS Applicant Number: _____________________
TEACHER RECOMMENDATION FORM (Page 2 of 2) Ratings
Compared to other students in his or her class year, how do you rate this student in terms of the following characteristics? Please mark the correct box for each row with an "X" to denote your rating No basis
Below Average
Good (above average)
Average
Very good (well above average)
Excellent (top 10%)
Outstanding (top 5%)
One of the top few I've encountered (top 1%)
Academic achievement Intellectual promise Quality of writing Creative, original thought Productive class discussion Disciplined work habits Maturity Motivation Leadership Integrity Reaction to setbacks Concern for others Self-confidence Initiative, independence
Overall recommendation Please indicate the level to which you would recommend the applicant (check one). !
Not recommended
!
Recommended
!
Highly recommended
!
Very highly recommended
Evaluation
Please write whatever you think is important about this student, including a description of academic personal characteristics, as demonstrated in the classroom. Because many exceptional students apply to the OHS, we welcome information that will help us differentiate this student from others. Feel free to attach an additional sheet or another reference you may have prepared on behalf of this student.
We truly appreciate your time and thoughtfulness in commenting on this applicant. Thank you! r. 2/22/12
Specific Course Application ! Page 11 of 11
