psi high commitment form program of emphasis...• psi high is a full-time, project-based program of...

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PSI HIGH COMMITMENT FORM Program of Emphasis Please return to: Derek Jensen or Kimberly Jackson Email: [email protected] or [email protected] Seminole High School 9 th Grade Center Guidance 21 Lakeview Drive Sanford, FL 32773 PSI High Front Desk: (407) 320-9150 Please complete this form to indicate your intent to enroll in the PSI High program at Seminole High School. STUDENT INFORMATION Student Name: _______________________________________________ Birth Date: _______________________ Current School: _______________________________________________ Current Grade: ___________________ PARENT/GUARDIAN INFORMATION I understand the bulleted statements below: PSI High is a full-time, project-based program of emphasis. As a PSI High learner, my child will earn course credit through work on authentic personal and real-world projects. My student will learn through a combination of core classes, personal learning investigations, and project-based work at school and in the community. My student will receive a schedule with least three class periods combined into a project block. Students enrolled in PSI High full-time must make satisfactory academic progress to remain in the program. My student will remain in the program for a minimum of one year. Enrollment may be revoked if attendance, tardiness, or behavior problems develop in the program. Parent/Guardian Name: ____________________________________ Signature: _________________________________________ Street Address: ____________________________________ City: _______________________________ Zip: _________________ Today’s Date: _______________________ Phone: _____________________ Email: _____________________________________ NEXT STEPS 1. Please return the form to the Guidance Department or PSI High front desk at the Seminole High School 9 th grade center. 2. You will be notified of your application decision in early April. 3. If accepted, you will receive a welcome packet including a student guide. You will be contacted to schedule a new student meeting with your student and the PSI High team. FOR SHS GUIDANCE USE Please check the following: The student has a course request for 9999PSI. (If not, please add.) The student is eligible to join the PSI High program as a full-time student. Processed by: Name: ___________________________________________________________ Date: _____________________________ Guidance: Retain original for your records Please copy or scan and submit to PSI High Front Desk Derek Jensen, PSI High Program Manager Email: [email protected] Phone: (407) 320-0330

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Page 1: PSI HIGH COMMITMENT FORM Program of Emphasis...• PSI High is a full-time, project-based program of emphasis. As a PSI High learner, my child will earn course credit through work

PSI HIGH COMMITMENT FORM Program of Emphasis

Please return to: Derek Jensen or Kimberly Jackson

Email: [email protected] or [email protected] Seminole High School 9th Grade Center Guidance

21 Lakeview Drive Sanford, FL 32773

PSI High Front Desk: (407) 320-9150

Please complete this form to indicate your intent to enroll in the PSI High program at Seminole High School.

STUDENT INFORMATION

Student Name: _______________________________________________ Birth Date: _______________________

Current School: _______________________________________________ Current Grade: ___________________

PARENT/GUARDIAN INFORMATION

I understand the bulleted statements below:

• PSI High is a full-time, project-based program of emphasis. As a PSI High learner, my child will earn course credit through work on authentic personal and real-world projects.

• My student will learn through a combination of core classes, personal learning investigations, and project-based work at school and in the community.

• My student will receive a schedule with least three class periods combined into a project block. • Students enrolled in PSI High full-time must make satisfactory academic progress to remain in the program. • My student will remain in the program for a minimum of one year. • Enrollment may be revoked if attendance, tardiness, or behavior problems develop in the program.

Parent/Guardian Name: ____________________________________ Signature: _________________________________________

Street Address: ____________________________________ City: _______________________________ Zip: _________________

Today’s Date: _______________________ Phone: _____________________ Email: _____________________________________

NEXT STEPS

1. Please return the form to the Guidance Department or PSI High front desk at the Seminole High School 9th grade center. 2. You will be notified of your application decision in early April. 3. If accepted, you will receive a welcome packet including a student guide. You will be contacted to schedule a new student

meeting with your student and the PSI High team.

FOR SHS GUIDANCE USE

Please check the following:

□ The student has a course request for 9999PSI. (If not, please add.)

□ The student is eligible to join the PSI High program as a full-time student.

Processed by: Name: ___________________________________________________________ Date: _____________________________

Guidance: Retain original for your records Please copy or scan and submit to PSI High Front Desk

Derek Jensen, PSI High Program Manager Email: [email protected] Phone: (407) 320-0330