2022 West Seneca Schools Academy Program Student Application
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Email *
Student First Name *
Student Last Name *
High School *
School Counselor *
Required
First Academy Program Choice *
Second Academy Program Choice
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Previous work experience/Volunteer experience (Including yard work, babysitting/formal or informal) *
List club memberships, sports, and extra-curricular activities *
List any enriched or honors courses you have taken *
How many days have you been absent this year? *
What is your Grade Point Average (GPA) *
Why are you interested in being selected for this program? *
Write a brief paragraph (six to ten sentences) describing yourself. *
List two teachers that you intend to use as references *
Agreement
By submitting this application, I understand that if I am accepted into this program and choose to accept, I will be committed to completing all of the necessary Academy courses and to participate in all required activities including workshops, job shadows, required internship, and a college course.  My acceptance further commits me to be a program participant starting sophomore year through June of my senior year. If you have any questions, please reach out to the Academy Office.
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