Integrated Systems Technology Academy of                         Engineering Application
Jack Britt High School                                                             Telephone: 910-429-2800
7403 Rockfish Road                                                                 Fax: 910-429-2810
Fayetteville, NC 28306                                                             danbarfield@ccs.k12.nc.us

Must be completed by student


Date of Application: *
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Last Name: *
First Name: *
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Student Number: *
Current School: *
Current Grade Level: *
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Parent Full Name: *
Parent email address: *
What do you enjoy doing in your spare time? *
List club memberships, extra-curricular activities, and volunteer experiences. *
Why would you like to be a member of the IST Academy of Engineering? *
Write a brief paragraph describing yourself. *
Student: By checking the box below, I understand that if I am accepted in the IST Academy of Engineering at Jack Britt High School, I will be committed to participate through my senior year in high school.  My acceptance further commits me to abide by the policies established by the Academy Board.   *
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Parent: I have read this application and the Academy Handbook, and I approve of my child's participation in the IST Academy of Engineering at Jack Britt High School.   *
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