acadec 2016 - california state university, fresno acadec 20… · residency questionnaire form...

20
ACADEC 2016 Coach Instructions Course Credit AH 001T

Upload: vanquynh

Post on 15-Sep-2018

216 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

ACADEC 2016

Coach Instructions

Course Credit

AH 001T

Page 2: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

California State University, Fresno CREDIT OPTION

IMPORTANT DEADLINES

ATTENDANCE AT WORKSHOPS IS REQUIRED FOR COURSE CREDIT

Date Time Event Send to/location

*10.6.2015 4:00-5:15 pm *Art and Music Satellite Student UnionBegin turning in Student Admission Tess will be there to pick up packets packets (coach turns in for the team) 1. CSUF Admission Data Form 2. Coach's Recommendation 3. Personal Payment or District Check**Do not substitute forms. They are updated each year.

11.10.2015 4:00-7:00 pm *Literature and Mathematics Satellite Student UnionStudent Admission packets due: Tess will be there to pick up packets

(from Coach for each student) 1. CSUF Admission Data Form 2. Coach's Recommendation 3. Personal Payment or District Check**Do not substitute forms. They are updated each year.

12.8.2015 4:00-7:00 pm *History and Biology Satellite Student Union

12.08.2015 4:00 PM Confirmation FormTurn in no later that the Dec 8 Workshop or Send by Fax to A & H Dean's office278-6758 or email attachment [email protected]

1.6.2016 5:00 PM name of any student who has been Send by Fax to A & H Dean's Officedeadline! recommended by coach to be administra-Attn: Tess 278-6748

tively dropped from AH 1T option or email [email protected]

4.4.2016 5:00 PM Students' Composite Scoring Arts & Humanities, Dean's Officelists due from Fresno County CSUFAcademic Decathlon Office AND 2380 E. KeatsStudents' Composite Scoring lists from Fresno, CA 93740-8024Out of County Schools email: [email protected]

6.6.2016 5:00 PM Submission of Credit/No Credit CSUF Admissions & Records Reports for decathlon students Joyal Administration enrolled in AH 1T to Records Shaw & Maple Ave Office from Arts & Humanities Fresno, CA 93740-0057

*dates and/or topics subject to changeBy 6.15, an official transcript may be requested for a fee of $4.00 at CSUF, Joyal Bldg., Public Service Window of Admissions, Records and Evaluations. Or, student may request by letter to the Office of Admissions, Records and Evaluations, CSUF, 5150 N. Maple, Fresno, CA 93740-0057.You must have your Fresno State Student ID when requesting a transcript. Coach will have that info.**Payment must accompany application. Application will not be processed without payment and completed forms. Checks must be made payable to: Fresno State. All others will be returned for reissue and could hold up the student's registration.

Page 3: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

College of Arts and Humanities 2016 Academic Decathlon Workshop Series

Satellite Student Union

Final Schedule

India October 6

4:00 p.m. – 5:15 p.m. Art:

Dr. Susana Sosa Department of Art Fresno City College

5:30 p.m. – 6:45 p.m. Music: TBA

November 10

4:00 p.m. – 5:15 p.m. Literature:

Dr. Samina Najmi Department of English

5:30 p.m. – 6:45 p.m. Mathematics: Statistics

Dr. Steve Chung Department of Mathematics

December 8

4:00 p.m. – 5:15 p.m. History:

Dr. Veena Howard Department of Philosophy

5:30 p.m. – 6:45 p.m. Biology: Dr. Madhu Katti Department of Biology

Parking Code - 261605  

Page 4: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

1

PLEASE READ

AH 001 T

COLLEGE CREDIT OPTION FOR ACADEMIC DECATHLON PARTICIPANT

CSUF Catalog #17071

Schedule #36129 AH 001T (4 units) 40 minimum contact hours Schedule #36131 AH 001T (3 units) 60 minimum contact hours Schedule #36132 AH 001T (2 units) 80 minimum contact hours 1. ELIGIBILITY: A. All qualified Academic Decathlon participants (Seniors, Juniors, Sophomores)

(They do not necessarily have to be on the final competition team) B. Grade point average of "C" (2.0) or above C. Completion of a minimum of 20 instructional contact hours per unit. D. Composite passing score of 3000. 2. COURSE INFORMATION: A. Lower division Humanities course in the College of Arts & Humanities listed

as AH 1T, Topics in Humanities (selected topics in the Humanities not normally covered by regular course offerings)

B. Equivalent to 2, 3 or 4 college units earned on a credit/no credit basis (i.e. no letter grade given, only college credit upon successful completion of course requirements and Academic Decathlon score of 3000 and above)

3. ADMISSION PROCEDURE: A. Coaches identify and select Academic Decathlon Participants B. Coaches shall turn in all application material for eligible academic participants

at their school to Tess no later than the second workshop on November 10, 2015.

a. Completed University Admission Data Form, all designated paperwork and payment

b. Recommendation Form: to be completed by high school coach and signed by both High School Coach and Principal. 4. CONFIRMATION

Confirmation Form: Coaches shall forward the Confirmation Form listing their School's Academic Decathlon participants eligible to register for credit in AH 1T by December 8, 2015 via email to Tess at [email protected]. This form should include each student’s name and which recommended AH 1T section student should be registered for. (i.e. # of units and the corresponding schedule number, depending on estimated hours spent studying) This form should be updated if

Page 5: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

2

students drop or change the number of credit hours no later than January 8, 2016. No drops will be accepted after this date. Fresno State’s I.D. # will be added to the Confirmation form by our staff after the student is admitted. This confirmation form information will be forwarded to the Registrar.

5. REGISTRATION PROCEDURE:

A. Until further notice, the Office of the Registrar at Fresno State will still register your students. 6. COLLECTION OF REGISTRATION FEE: A. A reduced fee waiver for California residents participating in this project has

been requested from the CSU Chancellor's Office. This has generated a reduced registration fee for Decathlon participants in the AH 01T credit option.

B. Payment: Payment must accompany the registration form. Registration will not be submitted without payment. Registration will not occur if there is an outstanding balance from prior semesters for any course taken. Make checks payable to Fresno State or California State University Fresno. Checks will be returned for reissue if the “payable to” is not correct. This could result in the student missing the registration deadline. The Fee Structure has been changed to:

0 units – 4 units $40

4.1 units – 7.0 units $60 7.1 units and above $80

Page 6: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

PLEASE TYPE

FRESNO COUNTY ACADEMIC DECATHLON, 2015

RECOMMENDATION FORM

PARTICIPATION IN THE COLLEGE CREDIT OPTION* (Due no later than November 10, 2015)

Student's Name:___________________________________________________ _______ Address:___________________________________________Zip code ______________ Phone Number:______________________ email: _________________________ Social Security Number:_______________ CSUF ID ________________________ Student's GPA:______________________ (Must be 2.0 or better to earn college credits) High School:_________________________ ____________________________________ High School Courses: 1________ 2 ________ 3 ________ 4 ________ 5 ________ 6 ________ I have participated in previous ACADEC Workshop Series _______________________ Coach/Instructor: __________________________________________________________ Phone __________________________ Coach’s Email: ________________________ Address:___________________________________ Zip ___________________ Estimated Number of Contact Hours: Fall, 2015:_________________ Spring, 2016:_______________ Course (credit) recommended by Coach AH 1T # 36129 (4 units) (80 hrs) AH 1T # 36131 (3 units) (60 hrs) AH 1T # 36132 (2 units) (40 hrs) _____________________________________ Instructor/Coach Signature: _____________________________________ School Principal Signature *Some Districts require that students be fully enrolled in high school (360 minutes) to participate in this program.

Page 7: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

CSUF STUDENT APPLICATION FOR THE ACADEMIC DECATHLETE

Please pay particular attention to the following:

RECOMMENDATION FORM: PLEASE TYPE: Sometimes handwriting is hard to read and could be misread causing delays in admitting. SOCIAL SECURITY NUMBER: Be sure to include on all forms along with Fresno State PS ID number, if you have one. (enrolled last year) ADMISSION DATA FORM: Please include your Social Security Number

If you know your Fresno State WEB ID number, please complete. Leave the AH 01T class number blank. It will be completed by us after you are admitted.

NEW FRESNO STATE WEB ID NUMBER: Fresno State’s Registration system is on the WEB. When a student is admitted, they are issued

a new I.D. number besides their Social Security number. Once the student is issued this number, it will become his permanent ID number to be used as long as the student is registering at Fresno State. Once you are admitted, you will be advised as to your permanent number. To avoid confusion, you will be registered by the Fresno State Registrar.

U.S. CITIZEN BOX: Be sure to check the box with a yes or no. If you have checked NO (You are NOT a U.S. Citizen), Complete the Residency Questionnaire Form attached to the Admission Form.

You must also attach a photocopy of your residency card AND a copy of one of your parent’s or guardian’s residency card, both front and back, to the Questionnaire. (You cannot be admitted without a copy of these cards.)

If you have checked Yes (you are a U.S. Citizen), you do not need to complete the attached Residency Questionnaire. SIGNATURE:

Be sure to SIGN the admission data form at the bottom and also the blue residency questionnaire, if applicable. (Application will not be

processed without your signature.)

Page 8: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

ADMISSION DATA FORM

CALIFORNIA STATE UNIVERSITY, FRESNO

Date of Birth

Name of High School:

Name of Counselor:

YearHigh school class level at time of college attendance: Soph SRDo you plan to work while attending CSUF: YES

If yes, how many hours per week:

What extracurricular activities are you involved in?

What colleges do you plan to apply to and attend? First Choice:

V-VietnameseT-ThaiS-Other Southeast AsianG-GuamanianH-HawaiianN-Samoan6-Other Pacific Islander7-WhiteF-Filipino8-Other9-No responseD-Decline to state

NO

SPRING 2016

Fee Status

Address

SocialSecurity #

NameLast First Middle Other Name(s)

City StatePhone # Message #( ) ( )

Sex

(M or F)

U.S. Citizen*

(Yes or No)

*If answer is “NO”list country of birth:(and complete Residence Questionnaire)

Anticipated High School Graduation Date:

Month

DATE

Fourth Choice:Second Choice: Third Choice:

2-Black, non-Hispanic, including African-American

ETHNIC IDENTITYPlease enter a code in this box:

1-American Indian or Alaskan native, tribe

3-Mexican-American, Mexican, ChicanoA-Central AmericanB-South AmericanQ-CubanP-Puerto Rican4-Other Latino, Spanish-origin, HispanicC-ChineseJ-JapaneseK-KoreanR-Asian Indian5-Other AsianM-CambodianL-Laotian

For Office Use Only

Major Code 0 0 0 0 0

Class Level 0Degree Objective 0Accom Status AEnroll. Status 6Res. Status

Perm. Res

C C Trans NDegree Held 0Inst of Origin

0

Applicant’s Signature Date

Major Code

NOTE: All non-U.S. citizens must complete a Residence Questionnaire.

$40 registration fee must be included with application.Uni-Track 9/00

H CSUFID

JR

Dean’s Office

Cash ___ Check___ MO___

_____________________________Receipt No.

AH 001T____36129/4 units____36131/3 units____36132/2 units

Check must be made payable to: Fresno State

ACADEC Decathlon

zip

Page 9: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

If you are not a citizen

Do not forget to attach

Copy of the front and back of your

residence card

And

Copy of the front and back of parent/guardian’s residence card

Page 10: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

Print Form

(rev. 08/07)

CSU Residence Questionnaire

ADDITIONAL  INFORMATION  IS  REQUIRED  TO  DETERMINE  YOUR  RESIDENCE  STATUS.   COMPLETE  AND  RETURN  THIS  FORM  TO  THE  CAMPUS  OFFICE  OF  ADMISSIONS  AND  RECORDS.  

 

   

Name Social Security No. ` Last Name First Middle

Birth date / / Campus Term applying for / Month Day Year Specify Campus Term Year

1. If you will be 19 years of age or older by the residence determination date, check here and Answer 2 through 16 as they pertain to you. ○

If you will be younger than 19 years of age by the residence determination date, check here and Answer 2 through 16 as they pertain to the natural or adopted parent with whom you most recently resided and whose name and whereabouts you will provide below. ○

Name/Relationship

Present actual whereabouts

2. What State do you regard as your permanent home? 3. If California, when did your present stay begin? / / Month Day Year

4. Are you claimed as a dependent on the military record of any member of the U.S. armed forces? Yes ○ No ○ If “yes,” explain the relationship and answer #6 for the service person.

5. Member or veteran of U.S. armed forces? Yes ○ No ○ Date joined From what state Date separated from active duty, if any

6. Most recent permanent address on military records

Stationed From To

7. Have you ever registered to vote? Yes ○ No ○ List all states where registered and date of registration

State

Date registered

/ / Month Day Year

Last Voted

/ / Month Day Year

State

Date registered

/ / Month Day Year

Last Voted

/ / Month Day Year

8 Do you possess a driver’s license and/ or ID Card? Yes ○ No ○ If yes: State

Previous State

Date issued

Date issued

/ /

Day Year / / Month Day Year

9. Current registration of all vehicles owned or operated in CA State

Date issued

/ /

Month Day Year

State

Date Issued

/ / Month Day Year

10. Are all personal effects located in California? Yes ○ No ○ If “no,” attach explanation on a separate piece of paper.

11. Purchase date(s) and location(s) of California residence(s) owned Date / / Month Day Year

Date / / Month Day Year

12. Purchase date(s) and location(s) of other residence(s) owned Date / /

Month Day Year

Location

Location

Location

13. Did you attend a California High School for at least 3 years and graduate or obtain a California G.E.D? Yes ○ No ○

14. Employed in California in the past year? Yes ○ No ○ Employer(s) From

/ / Month Day Year

To / / Month Day Year

15. State where last three state income tax returns filed on total income and year covered by each. State Year

State Year

State Year

16. Address shown on most current W-2 form

Certification – To be read and signed by all applicants to certify the accuracy of the information provided. I certify under penalty of perjury that the foregoing statements and any other information submitted by me in connection with the determination of my residence are true, complete, and accurate. I certify that so long as I am a student at this institution, I will advise the residence specialist if there is a change in any of the facts upon which the residence determination was made, such as the state of residence and military status of my parent if I am a minor or, if not, changes in any of the above for me or my spouse, if any; changes in the California State University employment status of my spouse, parent, or myself; or changes in my teaching employment or credential status. I authorize release of any information submitted by me in connection with my application for admission and determination of residence to any person, firm, corporation, association or government, whether federal, state, local, or foreign, but only as necessary to verify or explain the information, to obtain pertinent records, or in connection with perjury proceedings.

Signed at

City and County Applicant’s Signature Date

The information requested is deemed relevant and necessary to a proper determination of your residence status for tuition purposes pursuant to Education Code Section 68041. Failure to answer all questions may cause you to be classified as a nonresident. You may submit additional information you believe will establish your California residence. Questions about residence regulations should be referred to a campus residence specialist. A summary of the regulations is printed in campus catalogs and in the application for admission booklet. If you disagree with the campus residence determination, you have the right to appeal that decision to the Office of General Counsel, The California State University, 401 Golden Shore, 4th Floor, Long Beach, California 90802-4210 within 120 days from the date of the final residence determination by the campus. Note: You may be requested to furnish documentation in support of your responses.

Residence Determination Dates Quarter Calendars Semester Calendars

Fall……….………. September 20 Fall………….…… September 20 Winter…...................... January 5 Winter ..…………… January 5 Spring …………............... April 1 (Stanislaus only) Summer……….……………July 1 Spring …………………January 25

Summer……….……………June 1 CalState TEACH

Stage 1 ..………….September 20 Stage 3 ……………….…….June 1 Stage 2 ..………………January 5 Stage 4 ……………..September 20

Page 11: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

High School Unofficial Transcript

must accompany

the attached form.

Page 12: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

California Nonresident Tuition Exemption For Eligible California High School Graduates

(The law passed by the Legislature in 2001 as “AB 540”)

GENERAL INFORMATION

Any student, other than a nonimmigrant alien, who meets all of the following requirements, shall be exempt from paying nonresident tuition at the California Community Colleges, the California State University and the University of California (all public colleges and universities in California).

�� Requirements: o The student must have attended a high school (public or private) in California for three or more years. o The student must have graduated from a California high school or attained the equivalent prior to the start of

the term (for example, passing the GED or California High School Proficiency exam). o An alien student who is without lawful immigration status must file an affidavit with the college or university

stating that he or she has filed an application to legalize his or her immigration status, or will file an application as soon as he or she is eligible to do so.

�� Students who are non immigrants [for example, those who hold F (student) visas, B (visitor) visas, etc.] are not eligible for this exemption.

�� The student must file an exemption request including a signed affidavit with the college that indicates the student has met all applicable conditions described above. Student information obtained in this process is strictly confidential unless disclosure is required under law.

�� Students eligible for this exemption who are transferring to another California public college or university must submit a new request (and documentation if required) to each college under consideration.

�� Nonresident students meeting the criteria will be exempted from the payment of nonresident tuition, but they will not be classified as California residents. They continue to be “nonresidents”.

�� AB540 does not provide student financial aid eligibility for undocumented alien students. These students remain ineligible for state and federal financial aid.

PROCEDURES FOR REQUESTING THIS EXEMPTION FROM NONRESIDENT TUITION

California Community Colleges: Complete the form on the reverse. Submit it to the Admissions Office at the community college where you are enrolled or intend to enroll. You may be required to submit additional documentation. Call the college Admissions Office if you have questions. University of California: Complete the form on the reverse and submit it to the Office of the Registrar at the UC campus where you are enrolled or intend to enroll. Your campus has established deadlines for submission of exemption requests; however, requests are not to be submitted until you have been admitted to a UC campus. Some students, such as transfer, graduate, and professional students, also must submit their official high school transcripts; check with your campus for specific instructions. Once you are determined to be eligible for the exemption, you will continue to receive it as long as you fulfill the eligibility requirements or until the University no longer offers this exemption. The exemption covers the Nonresident Tuition Fee and the Educational Fee differential charged to nonresident students. Applying for the exemption does not alter your responsibility to pay by the campus deadline any nonresident tuition and associated fees that may be due before your eligibility is determined. For general information, visit the following website: www.ucop.edu/sas/sfs/ppolicies/ab540faqs.htm. For campus-specific instructions regarding documentation and deadline dates, contact the campus Office of the Registrar. California State University: Complete the form on the reverse. Contact the Office of Admission and Records at the CSU campus where you are enrolled or intend to enroll for instructions on submission, deadline information, and additional requirements. You will be required to submit final high school transcripts and appropriate records of high school graduation or the equivalent, if you have not done so already. Call the Office of Admissions and Records at the campus if you have questions.

Spring 2002

Page 13: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

California Nonresident Tuition Exemption For Eligible California High School Graduates

(The law passed by the Legislature in 2001 as “AB 540”)

GENERAL INFORMATION

Any student, other than a nonimmigrant alien, who meets all of the following requirements, shall be exempt from paying nonresident tuition at the California Community Colleges, the California State University and the University of California (all public colleges and universities in California).

�� Requirements: o The student must have attended a high school (public or private) in California for three or more years. o The student must have graduated from a California high school or attained the equivalent prior to the start of

the term (for example, passing the GED or California High School Proficiency exam). o An alien student who is without lawful immigration status must file an affidavit with the college or university

stating that he or she has filed an application to legalize his or her immigration status, or will file an application as soon as he or she is eligible to do so.

�� Students who are non immigrants [for example, those who hold F (student) visas, B (visitor) visas, etc.] are not eligible for this exemption.

�� The student must file an exemption request including a signed affidavit with the college that indicates the student has met all applicable conditions described above. Student information obtained in this process is strictly confidential unless disclosure is required under law.

�� Students eligible for this exemption who are transferring to another California public college or university must submit a new request (and documentation if required) to each college under consideration.

�� Nonresident students meeting the criteria will be exempted from the payment of nonresident tuition, but they will not be classified as California residents. They continue to be “nonresidents”.

�� AB540 does not provide student financial aid eligibility for undocumented alien students. These students remain ineligible for state and federal financial aid.

PROCEDURES FOR REQUESTING THIS EXEMPTION FROM NONRESIDENT TUITION

California Community Colleges: Complete the form on the reverse. Submit it to the Admissions Office at the community college where you are enrolled or intend to enroll. You may be required to submit additional documentation. Call the college Admissions Office if you have questions. University of California: Complete the form on the reverse and submit it to the Office of the Registrar at the UC campus where you are enrolled or intend to enroll. Your campus has established deadlines for submission of exemption requests; however, requests are not to be submitted until you have been admitted to a UC campus. Some students, such as transfer, graduate, and professional students, also must submit their official high school transcripts; check with your campus for specific instructions. Once you are determined to be eligible for the exemption, you will continue to receive it as long as you fulfill the eligibility requirements or until the University no longer offers this exemption. The exemption covers the Nonresident Tuition Fee and the Educational Fee differential charged to nonresident students. Applying for the exemption does not alter your responsibility to pay by the campus deadline any nonresident tuition and associated fees that may be due before your eligibility is determined. For general information, visit the following website: www.ucop.edu/sas/sfs/ppolicies/ab540faqs.htm. For campus-specific instructions regarding documentation and deadline dates, contact the campus Office of the Registrar. California State University: Complete the form on the reverse. Contact the Office of Admission and Records at the CSU campus where you are enrolled or intend to enroll for instructions on submission, deadline information, and additional requirements. You will be required to submit final high school transcripts and appropriate records of high school graduation or the equivalent, if you have not done so already. Call the Office of Admissions and Records at the campus if you have questions.

Spring 2002

Page 14: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

C

A

California Nonresident Tuition Exemption Request For Eligible California High School Graduates

Complete and sign this form to request an exemption from Nonresident Tuition. You must submit any docurequired by the College or University (for example, proof of high school attendance in California). Contact theCommunity College, University of California or California State University campus where you intend to enroenrolled) for instructions on documentation, additional procedures and applicable deadlines.

ELIGIBILITY: I, the undersigned, am applying for a California Nonresident Tuition Exemption for eligible California higraduates at (specify the college or university)____________________________________________ and I declare the fo Check YES or NO boxes: � Yes � No I have graduated from a California high school or have attained the equivalent thereof,

High School Equivalency Certificate, issued by the California State GED Office or a CeProficiency, resulting from the California High School Proficiency Examination.

� Yes � No I have attended high school in California for three or more years.

Provide information on all school(s) you attended in grades 9 - 12:

School City State Dates: From – Month/Year To – Mon

Documentation of high school attendance and graduation (or its equivalent) is required by the University of California, The California State University and some California Community Colleges. Follow campus instructions.

Check the box that applies to you -- check only one box: � I am a nonimmigrant alien as defined by federal law, [including, but not limited to, a foreign student (

exchange visitor (J visa)].

OR

� I am NOT a nonimmigrant alien (including, but not limited to, a U.S. citizen, permanent resident, or an without lawful immigration status).

AFFIDAVIT: I, the undersigned, declare under penalty of perjury under the laws of the State of California that the information I have provided on this formaccurate. I understand that this information will be used to determine my eligibility for the nonresident tuition exemption for eligible Californiagraduates. I hereby declare that, if I am an alien without lawful immigration status, I have filed an application to legalize my immigration statan application as soon as I am eligible to do so. I further understand that if any of the above information is untrue, I will be liable for panonresident charges from which I was exempted and may be subject to disciplinary action by the College or University.

Print Full Name (as it appears on your campus student records) Campus/Student Identification Number

Print Full Mailing Address (Number, Street, City, State, Zip Code)

Email Address (Optional)

Phone Number (Optional)

Signature Date

Return ompleted Form to Campus dmission’s

Office

mentation California ll (or are

gh school llowing:

such as a rtificate of

th/Year

F visa) or

alien

is true and high school us or will file yment of all

bernadet
Text Box
RETURN WITH HIGH SCHOOL TRANSCRIPT
Page 15: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

ACADEMIC DECATHLON 2016 Please type and alphabatizeby last name

High School

Instructor/Coach Phone Number

AH 1TCLASS TIME UNITS Class Number

80 hrs 4 units 3612960 hrs 3 units 3613140 hrs 2 units 36132

Turn in no later than November 17, 2014

** PLEASE NOTIFY Gail ([email protected]) WITH ANY ADDS OR DROPS NO LATER THAN JANUARY 6, 2016 - ABSOLUTE DROP DEADLINE BEFORE REGISTRATION CLOSES**Last Name First Name CSUF ID # # OF UNITS CLASS NUMBER

123456789

1011121314151617181920212223242526

Confirmation Form for AH 1T

Page 16: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

JUSTIFICATION FOR AH 1 T CREDIT Please make a copy for seniors who might be applying to a California university, an out of state university or a private university. They will need to attach this justification to their transcripts. All California State University’s will accept the AH 1 T credit. Others may question the course

Page 17: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

California State University, Fresno AH 1T/HUMANITIES 0001 T Special Offering for the ACADEMIC DECATHLON Course Description: A combination of relevant study of cultural and critical topics with strong reasoning skills designed for high school students who are members of the Academic Decathlon teams primarily in Fresno County. Participants in the Academic Decathlon earn 2 -4 units of credit upon successful completion of the course requirements: 40-80 hours in an instructional setting and test scores in the areas of mathematics, science, fine arts, economics, language and literature, social science, speech and writing along with three workshops given by California State University, Fresno professors in the above disciplines. Each year the Academic Decathlon has a different theme and the Fresno State workshops cover this theme along with the areas of study listed above. Students also match wits during a “Super Quiz” based solely on the designated theme for that year. 2015-2016 Academic Decathlon theme: India Spring ’16 AH IT - Catalog #17071 2 units: Schedule #36132 3 units: Schedule #36131 4 units: Schedule #36129 2014-2015 Academic Decathlon theme: New Alternatives in Energy: Ingenuity and Innovation Spring ’15 AH 1T- Catalog #17071 2 units: Schedule #35728 3 units: Schedule #35754 4 units: Schedule #35728 2013-2014 Academic Decathlon theme: World War I Spring ’14 AH 1T- Catalog #17071 2 units: Schedule #36005 3 units: Schedule #36006 4 units: Schedule #36007 2012-2013 Academic Decathlon theme: Russia Spring ’13 AH 1T- Catalog #17071 2 units: Schedule #36027 3 units: Schedule #36026 4 units: Schedule #36025 2011-2012 Academic Decathlon theme: The Age of the Empire Spring ’12 AH 1T – Catalog #17071 2 units: Schedule #35941 3 units: Schedule #35942 4 units: Schedule #35943 2009-2010 Academic Decathlon theme: The French Revolution Spring ’10 AH 1T – Catalog #17071 2 units: Schedule #37401 3 units: Schedule #37402 4 units: Schedule #37403 2008-2009 Academic Decathlon theme: Latin America, with a focus on Mexico Spring ’09 AH 1T — Catalog #17071 2 units: Schedule #37131 3 units: Schedule #37132 4 units: Schedule #37133

Page 18: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

2007-2008 Academic Decathlon theme: The Civil War Spring ’08 AH 1T — Catalog #17071 2 units: Schedule #43503 3 units: Schedule #43504 4 units: Schedule #43505 2006-2007 Academic Decathlon theme: China and Its Influence on the World Spring ’07-Hum 0001T — Catalog #17071

2 units: Schedule #36912 3 units: Schedule #36913 4 units: Schedule #36914 2005-2006 Academic Decathlon theme: European Renaissance Spring ’06-Hum 0001T – Catalog #17071 2 units: Schedule #36527 3 units: Schedule #36529 4 units: Schedule #36530 2004-2005 Academic Decathlon theme: Exploring the Ancient World Spring ’05-Hum 0001T – Catalog #17071 2 units: Schedule #38903 3 units: Schedule #38904 4 units: Schedule #38905 2003-2004 Academic Decathlon theme: America: The Growth of a Nation Spring '04 - Hum 0001T - Catalog #17071 2 units: Schedule #36810 2002-2003 Academic Decathlon theme: Understanding the Natural World Spring ’03 – Hum 0001T – Catalog #17071 2 units: Schedule #51144 3 units: Schedule #51145 4 units: Schedule #51146 2001-02 Academic Decathlon theme: E-Communication: The Internet and Society & Understanding Others Spring ’02 – Hum 0001T – Catalog #16406 2 units: Schedule #40320 3 units: Schedule #40331 4 units: Schedule #40342 2000-01 Academic Decathlon theme: Understanding the Self Spring ’01 – Hum 0001T – Catalog #16403 2 units: Schedule #46546 3 units: Schedule #46550 4 units: Schedule #46561 1999-00 Academic Decathlon theme: The Sustainable Earth Spring ‘00 - Hum 0001T - Catalog #14944 2 units: Schedule #37730 3 units: Schedule #37741 4 units: Schedule #37752 1998-99 Academic Decathlon theme: The Brain: Looking Inward Spring ‘99 - Hum 0001T - Catalog #14363 2 units: Schedule #38021 3 units: Schedule #38032 4 units: Schedule #38043

Page 19: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

1997-98 Academic Decathlon theme: Globalization: The New Economy Spring ‘98 - Hum 0001T - Catalog #12390 2 units: Schedule #40784 3 units: Schedule #40795 4 units: Schedule #40806 1996-97 Academic Decathlon theme: The Information Revolution Spring ‘97 - Hum 001T - Catalog #12390 2 units: Schedule #36245 3 units: Schedule #36256 4 units: Schedule #36260 1995-96 Academic Decathlon theme: Competition & Cooperation - The United Nations Spring ‘96 - Hum 001T - Catalog #12390 2 units: Schedule #42076 3 units: Schedule #42980 4 units: Schedule #42991

Page 20: ACADEC 2016 - California State University, Fresno ACADEC 20… · Residency Questionnaire Form attached to the Admission Form. You must also attach a photocopy of your residency card

GREEN PERMITSTUDENT/PUBLIC PARKING

YELLOW PERMITFACULTY/STAFF PARKING

BLUE PERMITDISABLED PARKING

GOLD PERMITSPECIAL USE PARKING

SHORT TERM PARKING

SAVEMART CENTER PARKING

MOTORCYCLE PARKING

DAILY PARKING PERMIT DISPENSERS

PARKING METERS

SAFE LIGHTING PATH

EMERGENCY TELEPHONE

DESIGNATED SMOKING AREASP

M

ICWT/WET

STUDENTRECREATION

CENTER

AMPHITHEATER

POLICE/PUBLIC SAFETY

ENGINEERING EAST

WATER

TOWER

ChillerBoiler Plant SN

OITAR

EPOT

NALP

P

Q

G

Y

P

A

V

T

P

L

D

E

F

X

B

K

N

O

I

U

W

C

J

M

R

TheCOLLEGIAN

POST OFFICE

CEDA

R AVE

SHAW AVE

SOUTH GYM

SCOTT AVE

ROPES COURSE

UNIVERSITYDININGHALL

ATRIUM

BIRCH

CEDA

R

BAKER HALL

GRAVES HALL

HOMAN HALL

SPALDING G. WATHENTENNIS COURTS

UNIVSTUDENTUNION

BART

ON AV

E

ROWE

LL AV

E

KEATS AVE

FRONTAGE ROAD

MUSIC

LAB SCHOOL

HEALTHCENTER

SPEECH ARTSUNIVERSITYCENTER

THE FOUNTAIN

KEATS

PEACE GARDEN

ROSE GARDENFREE SPEECH AREA

ASPENHOMEMANAGEMENT

SYCAMORE

SEQUOIA

POND

EROS

A

WOOD

ROW

AVE

MAPL

E AVE

STUDENT HORSECENTER

RODEO

MATOIAN WAY

SHAW AVEMAIN ENTRANCE

AGRICULTURALSCIENCESMCLANE HALL

SCIENCE

CONLEY ART

UNIV BUSINESSCENTER PARKING

MATOIAN WAYJOYALADMIN

MATOIAN WAY

BOOKSTORE

POST OFFICE

PETERS BUSINESS

PBAT

POOL

MAPL

E AVE

BARSTOW AVE

CHES

TNUT

AVE

HORSE UNIT

PRICE

AVE

SIERR

A VIST

A AVE

ENOLOGY UNITGRADUATE

LAB

CATI

EAST PORTALS AVE

O'NEILL PARK

SAN RAMON AVE

FOOD STORAGE

DAIRYPROCESSING

RECYCLE CENTER CALF BARN

DOJ FORENSICS

LAB

AGRONOMYSHEEP UNIT

FEED MILL

CIT TESTING

SAVE MART CENTERAT FRESNO STATE

SCIENCE II

VETERINARY UNITBEEF

CATTLEUNIT

BEEFFINISHUNIT

POULTRY UNITDAIRY UNIT

FUEL STATIONSWINE UNITJUDGING

PAVILIONVITICULTURE AND ENOLOGY

RESEARCH CENTER

GROSSE INDUSTRIAL TECHCA

MPUS

DRIV

E

BARSTOW AVE

CEDA

R AVE

CAMPUS FARM

RAISIN LAB

VITICULTUREENOLOGY

EAST

AG OPERATIONS

AG MECHANICS

ENGINEERING WEST

FARMMACHINERY

CENTER

SAN BRUNO AVE

BULLDOGDIAMOND

NORTH GYM ANNEX

WARMERDAMFIELD

NORTH GYM

SOCIAL SCIENCE MCKEE FISK

THE QUAD

FAMILY &FOOD SCI PROFESSIONAL

HUMAN SERVICES

EDUCATIONALANNEX

JACK

SON

AVE

SAN RAMON AVE

AUXILIARY

SERVICES

KREMEN SCHOOLOF EDUCATION AND

HUMAN DEVELOPMENT

ALLEN LEWMEMORIAL

GROVE

FRANK W. THOMAS

SATELLITESTUDENTUNION UNIVERSITY

BUSINESSCENTER

SCIENCE GREENHOUSES

PLANETARIUMMUSEUM

DOWNINGPLANETARIUM

MAILCENTER

PRINTINGSERVICES

SHIP/REC

SMITTCAMPALUMNIHOUSE

SMITTCAMPALUMNIHOUSE

VISITORSCENTER

LYLESCENTER

PETERSEDU CENTER

ANIMAL SCIENCEPAVILION

UNIVERSITYCOURTYARD

Allergy FreeDemonstration

GardenMeteorology

Lab

HENRY MADDENLIBRARY

7/11

STUDENTRIDESHARE ONLY

5241 N. Maple AvenueFresno, CA 93740

AQUATICSCENTER

P

P

P

P

PP

P

P

P

P

P

P

P

P

M

M

M

M

M

MM

M

H

BACK

ER AV

ENUE

UNIVERSITYHIGH SCHOOL

SAVE MART CENTER PARKINGLOT 1 LOT 2 LOT 3

LOT 4 LOT 5 LOT 6

Gail Freeman
gailf
Typewritten Text
gailf
Typewritten Text
gailf
Typewritten Text
Parking Code: 261605 - for October 6, November 10 and December 8
gailf
Typewritten Text
gailf
Typewritten Text
gailf
Typewritten Text
gailf
Typewritten Text
gailf
Typewritten Text
gailf
Typewritten Text
gailf
Typewritten Text