ࡱ> _ bjbj 4>\>\g"  zzzzzdD.466666@.B.B.B.B.B.B.$124zf.Qzf.zz66.T"T"T"z6z6@.T"@.T"T"r,T-6 Lۗ4R,,..0. -za5a5--a5z-/T"f.f.l!.a5 > @: NECSD Unlimited Horizons Program Application Horizons-on-the-Hudson Magnet School PLEASE PRINT CLEARLY Students legal name: _________________________________ Date of birth: _________ Gender: Male Female School attended 2017 2018: _____________ Teacher: ______________________ Grade 2017 2018: _____ Ethnicity: (circle one) African American Caucasian Hispanic Native American Asian/Pacific Islander Parent/Guardians Names: ___________________________________ Phone Number: _______________________ Address: _____________________________________________________________________________________________ Email: ______________________________________ Parent Information Form Check the category that best describes your child. Cite examples whenever possible. My child is an intense learner. This is demonstrated through: ALMOST ALWAYS OFTEN SELDOM1.__________________Determination to complete assignments effectively and efficiently2.__________________Using advanced vocabulary, incorporating it into writing or conversation3. ______ ______ ______Possessing an exceptional amount of factual knowledge applied accurately; reading extensively4. ______ ______ ______Acquiring new skills and concepts quickly; grasping underlying principles and making valid generalizations5. ______ ______ ______Exploiting topics of personal interest beyond age level; becoming totally absorbed in an area of particular interestExamples: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ My child is an analytical thinker. Analytical thinking is demonstrated through: ALMOST ALWAYS OFTEN SELDOM1.__________________An understanding of abstract or complex concepts2. ______ ______ ______An interest in challenging situations; approaching problems from varied perspectives; tackling difficult problems and issues which others may find frustrating3. ______ ______ ______A sense of humor reflecting advanced understanding; seeing humor in situations others find humorless4. ______ ______ ______An awareness of relationships; using metaphors or analogies; making mental connections5. ______ ______ ______A willingness to take risks; showing confidence in answers and unafraid to substantiate an opinion different from othersExamples: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ My child is a creative producer. Creative, productive thinking is demonstrated through: ALMOST ALWAYS OFTEN SELDOM1.__________________Fluency and flexibility; generating divergent ideas, adapting to new situations2. ______ ______ ______Originality; expressing the familiar in unusual ways, offering unique solutions to problems or questions; creating original products3.__________________Elaboration; creating detailed projects; turning the simple into complex; adding details4.__________________Questioning; asking complex questions; utilizing a high level of inquiry and reflection5. ______ ______ ______Social consciousness; concern for injustice; social issues, and moral questions beyond age levelExamples: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ My child is highly motivated. Motivation is demonstrated through: ALMOST ALWAYS OFTEN SELDOM 1. ______ ______ ______ Working well independently 2. ______ ______ ______ Exceeding expectations; doing more than what is required 3. ______ ______ ______ Working cooperatively as a team member; receptive to the ideas of others 4. ______ ______ ______ Enthusiasm for assignments; completing assignments on time or prior to due date 5. _____ _____ ______ Assuming leadership positions; directing others Examples: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Additional comments: Please be as specific as possible on commenting on any characteristics, abilities and/or aptitudes of your child that you feel should be brought to the attention of the Interview Committee: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________ ALL FORMS MUST BE COMPLETE AND RECEIVED BY JUNE 1, 2018 TO BE CONSIDERED FOR PLACEMENT SEND COMPLETED APPLICATION TO: ATTN: SARA P. FELIZ, ASSISTANT SUPERINTENDENT OF CURRICULUM & INSTRUCTION NEWBURGH ENLARGED CITY SCHOOL app 124 GRAND STREET NEWBURGH, N.Y. 12550 (845) 563 3435 TEACHER RECOMMENDATION FORM NECSD Unlimited Horizons Program Horizons-on-the-Hudson Magnet School 137 Montgomery Street app, New York 12550 Telephone: (845) 563-3725 Fax: (845) 563-3730 SECTION AParent/Guardian, complete the first line, and give this form to an appropriate school staff person. Letters of recommendation should be sent directly to Sara P. Feliz, Assistant Superintendent of Curriculum & Instruction, NECSD. Name of Applicant:____________________________________________________________________________________ Last First Middle Address: ___________________________________________________ Phone Number: ____________________________ SECTION BTeacher: Please complete this form and mail it to the above address. Recommenders Name: _________________________________________________________________________________ Last First Middle School Name: ________________________________________________Position:_________________________________ 1. Number of years acquainted with student: R 0 - 1 year R 1 - 2 years R 2 - 3 years R 3 + 2. How would you rank this student in the following categories: Very SuperiorSuperiorAbove AverageAverageBelow AverageIntellectual curiosityRRRRRDemonstrated academic abilityRRRRRAcademic potentialRRRRRProblem-solving abilityRRRRRStudy & organizational skillsRRRRRVerbal reasoning abilityRRRRRMathematical reasoning abilityRRRRRStudent behaviorRRRRR 3. Please characterize the level at which the student is currently working in the subject area in which you teach him/her. R at grade level R 1 grade above R 2+ grades above R Don t know 4. Has this child ever had any disciplinary issues? R Yes RNo 5. 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