PIT Crew Application for 21-22

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Please answer these questions as fully and completely as you can. After submitting this form, your application will be reviewed and your school counselor will be informed about whether you were accepted into the program or not. If you have any questions, you can reach Mrs. Turley (coordinator of PIT Crew) at katherine.turley@ocps.net

Email *

What is your full name as it appears on your school records? (Last Name, First Name) *

What is your current grade level for this school year? *

To the best of your knowledge, what is your current GPA? *

Describe your overall attendance in school? Do you sometimes miss the entire day, individual classes and are you sometimes late to class? (Please explain.) *

Are there any behavioral issues or concerns that have occurred since you started to attend Timber Creek High School that you would like to tell me about? *

What have you heard and/or what do you know about the PIT Crew program at Timber Creek High School? *

Why do you want to be part of the PIT Crew program? *

Do you have any previous experience working with people with disabilities? If so, please describe. *

What personal strengths, talents or skills do you possess that you think can be used to serve students with disabilities at Timber Creek? *

Please give me the names of two teachers at Timber Creek that I can contact as a personal reference for you. *

(I will be contacting your references via email to obtain their recommendations regarding your acceptance into PIT Crew.)

If you were recommended to apply for the program by a current PIT Crew member, what is the name of that member?

Is there any other information you think it is important for me to know about you or anything else you would like to add? *

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