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Public Service Academy Application
Please complete this form if you are interested in joining Public Service Academy (PSA) at Narbonne High School. You can learn more about PSA through this flyer:
https://docs.google.com/document/d/1MevQm7uj7ULJTU5QT6m1p5QKWcEQcNjjc8r6BNogvmk/edit?usp=sharing
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Email
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Your email
What is your first name?
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Your answer
What is your last name?
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Your answer
What grade are you currently in?
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9th
10th
11th
What is your birthday? Please include the day, month and year.
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Your answer
Tell us a bit about yourself. Why would you like to join PSA?
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Your answer
Do you plan to be on any sports teams next year? Which ones? This will not disqualify you, we just want to be aware.
Your answer
Answer YES or NO to the next six questions. I understand Public Service Academy is a three-year commitment; I will be expected to stay in the program for three years. (Current 10th graders only: we do allow some students to join for two years, 11th and 12th grade).
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Yes
No
I understand I will delay taking either PE or a foreign language in 10th grade so I may take required academy elective.
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Yes
No
I understand that as an academy member, I’ll be required to follow academy behavior expectations.
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Yes
No
I understand that as an academy member, I’ll dress nicely in court attire one day per month when we have guests, professional mixers, and Teen Court sessions.
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Yes
No
I understand that as an academy member, I'll wear the academy polo shirt on Mondays. The academy will buy me the polo shirt.
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Yes
No
I understand that as an academy member, I’ll complete community service hours for recognition at graduation.
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Yes
No
Does your parent/guardian approve of you joining the academy? Please get their permission before submitting an application.
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Yes, my parent/guardian knows and approves my choice.
No, I will delay submitting this application until I can get permission from my parent/guardian.
Student: By typing your full name here, you are confirming everything in this application is true.
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Your answer
Do you have any additional questions about the academy? Add them here or email Ms. Fortune at
mfortune@narbonnepsa.net
or
mad8682@lausd.net
.
Your answer
Send me a copy of my responses.
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