Middle College High School Grades 9th through 12th

1260 West Esperanza Street San Bernardino, CA 92410 Phone: 909-888-4041

Incoming 9th or 10th Grade

Application Packet

Purpose: The application will provide information in helping to determine student eligibility to Middle College HS

for 2018-2019.

Directions:

For students currently attending a SBCUSD school and living within the boundaries of the SBCUSD please provide:

1. Completed Application form

2. Handwritten Essay (form attached) – NOTE: A good essay supports a strong application

3. Proof of Address (current utility bill, rental agreement, etc.)

For students who live in the SBCUSD boundaries but did NOT attend a SBCUSD school in 2017-2018:

1. Completed Application form

2. Handwritten Essay (form attached)

3. Verifiable Proof of Address (current utility bill, rental agreement, etc.)

4. Current “Official Transcript”

5. Attendance Record for 2017-2018

6. Standardized Test Scores (i.e. SBAC – 3 years, ELA/Math Benchmarks, other)

7. Discipline Records for 8th grade and/or 9th grade

Application Review:

1. Incomplete applications may not be considered.

2. Applications must be turned in person to the MCHS office located at 1260 W. Esperanza St., SB, CA 92410.

3. Student essays will be assessed by MCHS.

4. Proof of address is subject to verification by district. P.O. Box information will not serve as proof of address.

5. All student records will be evaluated according to MCHS enrollment criteria.

6. Siblings/relatives of current or past MCHS students are not guaranteed acceptance to MCHS.

7. Qualified applicants will be invited to an interview in spring. This continues the application process.

8. Based on the 9th grade interview, qualified students will be entered into a district lottery.

9. Acceptance or denial letters will be sent out in mid to late May. No applicant is guaranteed acceptance. 10. Students accepted to MCHS will be required to attend a one day student orientation in early June.

11. Thank you for taking the time to apply to Middle College High School.

Applications will be accepted starting on February 9, 2018

APPLICATION DEADLINE IS THURSDAY, MARCH 8, 2018 Completed applications are due to the MCHS office, by 4:00 PM on or before March 8, 2018

The MCHS office is open from 7:30 AM to 4:00 PM, Monday – Friday

Middle College High School De los grados escolares 9º al 12º

1260 West Esperanza Street San Bernardino, CA 92410 Teléfono: 909-888-4041

Paquete de solicitud para

Estudiantes entrantes del 9º o 10º

Propósito: La solicitud proporcionará información necesaria para ayudar a determinar la elegibilidad del estudiante a

Middle College High School para el año escolar 2018-2019.

Instrucciones:

Para los estudiantes que actualmente asisten a una escuela en y viven dentro los límites de SBCUSD, por favor de

presentar:

1. Solicitud completa

2. Ensayo (essay) escrito a mano (forma ajuntada) – NOTA: El ensayo es una gran parte de la solicitud.

3. Comprobante de domicilio (un recibo más reciente de agua, luz, gas, o contrato de arrendamiento, etc.)

Para estudiantes que viven dentro los límites de SBCUSD, pero NO asistieron a una escuela SBCUSD en el 2017-2018:

1. Solicitud completa

2. Ensayo (essay) escrito a mano (forma ajuntada)

3. Comprobante verificable de domicilio (un recibo más reciente de agua, luz, gas, o contrato de arrendamiento, etc.)

4. “Constancia de estudios oficial” actual

5. Reporte de Asistencia Escolar para el año escolar 2017-2018

6. Puntaje de los Exámenes Estandarizados (i.e. tres años de SBAC, evaluaciones [benchmarks] de matemáticas e

inglés, etc.).

7. Expediente de disciplina del 8º grado y/o 9º grado

Reviso de su solicitud:

1. Solicitudes incompletas no se considerarán para revisión.

2. Su solicitud se debe de entregar en persona a la oficina de MCHS ubicada al 1260 W. Esperanza St., SB, CA 92410.

3. El ensayo (essay) del estudiante será evaluado por un equipo de revisión que consiste de miembros de MCHS.

4. Su comprobante de domicilio es sujeto a verificación por el distrito. Un apartado postal no servirá como comprobante

de domicilio.

5. El expediente académico del estudiante se evaluará según los criterios de inscripción de MCHS.

6. No se garantiza aceptación a MCHS a hermanos o parientes de estudiantes que actualmente están asistiendo o se

graduaron de MCHS.

7. Los estudiantes que califiquen serán invitados a una entrevista en la primavera. La entrevista es parte del proceso de

solicitud.

8. Basado en las entrevistas para el 9º grado, los estudiantes calificados serán puestos en una lotería del distrito.

9. Se le dejar saber por correo sí, sí o no, fue elegido su estudiante a MCHS. Las cartas se enviaran a mitad del mes o los

últimos de mayo. A ningún solicitante se le garantiza que será aceptado.

10. Se requiere que los estudiantes que fueron elegidos a MCHS asistan a una orientación estudiantil de un día en los

principios de junio.

11. Gracias por solicitar a Middle College High School.

Estaremos aceptando solicitudes empezando el 9 de febrero, 2018

FECHA LÍMITE ES EL JUEVES, EL 8 DE MARZO, 2018 Solicitudes completas de deben de entregar en persona a la oficina de MCHS

empezando el 9 de febrero y terminando el 8 de marzo, 2018

La oficina está abierta de 7:30 AM a 4:00 PM, lunes a viernes

Middle College High School

San Bernardino City Unified School District ENROLLMENT APPLICATION

Student Name: ________________________________________________________Current School: _____________________ Last Name First Name Middle Initial

Student ID Number: ________________ M F Date of birth: ____/____/____ Ethnicity: ______________________

Parent email: ________________________________________ Student email: _______________________________________

Home Address: __________________________________________________________________________________________ Street address Apt # City, State Zip Code

Parents/Guardians Name: ________________________________________________ Home Phone: ______________________

Work Phone: ___________________________ Cell Phone: ___________________________

Parents/Guardians Name: ________________________________________________ Home Phone: ______________________

Work Phone: ___________________________ Cell Phone: ___________________________

Is English your primary language? Yes No If not, what is your primary language? ___________________________

Services during the past year? Yes No If yes, what type (RSP, 504, etc) ________________________________

QUESTIONS FOR THE STUDENT

1. How did you find out about Middle College High School? (circle all that apply)

Counselor School announcement Current/former Middle College student other: ________________________________

Parent/Guardian Friend Teacher Sibling or other relative attended MCHS Name: ________________________________

2. List three careers you are interested in pursuing

1.________________________________ 2.______________________________ 3.____________________________

Your application will be considered complete when we receive all documentation listed:

Complete Application

Handwritten Essay (form attached)

Proof of address (current utility bill, rental agreement, etc.)

Completed applications are to be hand-delivered to the Middle College High School

office at 1260 W. Esperanza Street, SB, CA 92410

Parent’s/Guardian’s Name (Please print) ______________________________________________________________________

Parent’s/Guardian’s Signature ______________________________________________________________________________

Middle College High School ~ James Espinoza, Principal

1260 West Esperanza Street San Bernardino, CA 92410

Phone (909) 888-4041 Fax (909) 888-4548 www.sbcusd.com

Middle College High School

Distrito Escolar Unificado de la Ciudad de San Bernardino SOLICITUD PARA LA MATRICULACIÓN

Nombre del estudiante: ________________________________________________________ Escuela vigente: _____________ Apellido Primer Nombre Segundo Nombre

Número de identificación: ____________________ M F DOB: ____/____/____ Raza: ____________________________

Correo electrónico (padre): ___________________________________ Correo electrónico (estudiante): ______________________________

Domicilio: ______________________________________________________________________________________________ calle # de apartamento ciudad y estado código postal

Nombre de padre/tutor: _________________________________ ________ Teléfono del hogar: _________________________

Teléfono del trabajo: _____________________________ Teléfono del celular: __________________________

Nombre de padre/tutor: _________________________________________ Teléfono del hogar: _________________________

Teléfono del trabajo: _____________________________ Teléfono del celular: _________________________

¿Su idioma natal es el inglés? Sí No ¿Al responder no, cuál es su idioma natal? ___________________________

¿Su estudiante formo parte de un programa especial educativo? Sí No

¿Al responder sí, de que programa especial educativo tomo parte? (RSP, 504, etc) ____________________________________

PREGUNTAS PARA EL ESTUDIANTE

1. How did you find out about Middle College High School? (circle all that apply)

Counselor School announcement Current/former Middle College student other: _________________________________

Parent/Guardian Friend Teacher Sibling or other relative attended MCHS Name: ________________________________

2. List three careers you are interested in pursuing

1.________________________________ 2.______________________________ 3.____________________________

Su solicitud será considerada completa cuando nosotros recibamos todos los documentos requeridos:

Solicitud completa (forma ajuntada)

Ensayo (essay) escrito a mano (forma ajuntada)

Comprobante de domicilio (un recibo más reciente de agua, luz, gas, o contrato de arrendamiento, etc.)

Solicitudes completadas se deben de entregar en persona a la oficina de

Middle College High School ubicada al 1260 W. Esperanza St., SB, CA 92410

Nombre del padre/tutor (en letra de molde) _______________________________________________________________

Firma del padre/tutor ________________________________________________________________________________

Middle College High School ~ James Espinoza, Principal

1260 West Esperanza Street San Bernardino, CA 92410

Phone (909) 888-4041 Fax (909) 888-4548 www.sbcusd.com

APPLICATION ESSAY

Student Name: _______________________________________________ Current School: ________________________

Directions: Please respond to the following prompt HANDWRITTEN in BLUE INK using the provided space below.

Prompt: Briefly describe the reasons you are seeking acceptance to Middle College High School. Include your personal

background, education, qualities, and characteristics that make you an ideal candidate for our college preparation program.

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(Responses beyond this point will not be considered)