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OHIO CONSTRUCTION ACADEMY 20 1 3- 2 01 4 En rol l men t

PLEASE PRINT ALL INFORMATION ACCURATELY AND COMPLETELY IN BLUE OR BLACK INK STUDENT DATA Student’s Legal Name Last

Date of Birth ____/____/____

First

Middle

City of Birth

State of Birth

Address Number and Street

City/State

Parent e-mail address Preferred Phone (

Zip Student SSN

)

Alternate Phone (

Home ___ Work ___ Cell ___ Grade applying for (Circle one)

9

)

Home ___ Work ___ Cell ___ 10

11

Specific area of interest (carpentry, electrical, etc.) EDUCATION HISTORY Current school

Current Grade

Number of times absent _______ and tardy _______ last year?

Current YTD absent_______ and tardy _______

Do you currently have an active IEP (Individualized Education Plan), ETR (Evaluation Team Report) or 504 Plan? No_____ Yes_____ (If yes, attach a copy)

IEP Date _______ ETR Date _______ 504 Date _______

Have you ever had an IEP, ETR or 504 Plan that is no longer active? No_____ Yes_____ (If Yes, explain below)

Other specific educational or medical needs Any prior suspensions?

No_____ Yes_____ If Yes, how many?_________________ Dates_________________

Any prior expulsions?

No_____ Yes_____ If Yes, why?______________________ Dates_________________

Did you ever repeat a grade?

No_____ Yes_____ If Yes, grade and school?__________________________________

CUSTODY Name(s) of Parent/Guardian/Custodian(s) with whom student is living:

O HIO CONSTRUCTION ACADEMY

Relationship: Both parents ______ Mother ______ Father______ Court placed______ Other Is there a legal custodial agreement?

N/A_____ Yes_____ No_____ (If Yes, attach a certified copy)

If No, is there legal custody pending? How did you hear about OCA?

A BLUEPRINT

TO

Yes_____ No_____ (If Yes, when is hearing expected?)

If your sibling(s) attend(s) OCA currently, please provide student name(s) Note: Completion of this form and submission to the Ohio Construction Academy (OCA) will not constitute guaranteed acceptance to the school. OCA accepts an average of 83 students per grade level. Acceptance to OCA requires participation in a placement interview. A new application must be completed each school year. OCA will not place a student in a grade that is inappropriate for his/her academic level. OCA is a community school established under Chapter 3314 of the Ohio Revised Code. OCA is a public school and its students are required to pass proficiency tests and other examinations prescribed by law. Students who have been excused from the compulsory attendance law for home instruction as defined by the Administrative Code shall no longer be excused for that purpose upon their enrollment at OCA. For further information regarding the above issues, contact the school administration or the Ohio Department of Education. By signing below, you understand the aforementioned conditions of the application process and you attest to the honesty of the information above. If any of the information on this application is found to be false, or intended to mislead, the applicant will no longer be eligible for enrollment. Students entering from Home Instruction must provide a complete portfolio of work along with proper documentation from their home school district. Please return this form (along with necessary documentation listed on Documentation Required) to:

Ohio Construction Academy, 1725 Jetway Blvd., Columbus, Ohio 43219 Parent/Guardian

Date Signature Printed Name

1725 JETWAY BLVD.,COLUMBUS, OH

Office hours: M-F (9 am-3 pm) www.ohioconstructionacademy.com

SUCCESS


OHIO CONSTRUCTION ACADEMY

provides

high school students an innovative educational

A B L E N D E D L E A R NI NG E X P E RI E N C E F O R S T U D E NT S L E A DI NG TO SUCCESS IN THE CO N S T R U C T I O N I N D U ST RY

opportunity to explore construction related careers

IT’S

ACADEMIC!

through an excellent foundation in academics and

OHIO

CONSTRUCTION

rigorous

ACADEMY

contextual,

hands-on

curriculum

that

EXCELLENT 1 TEACHER

apprenticeship program, college, and a career.

TO 20 STUDENT RATIO,

PRIDE IN OUR TALENT BUILDS

CAREERS

ABOUT OHIO CONSTRUCTION ACADEMY Ohio Construction Academy (OCA) is a tuition-free, fully accredited construction technology academy. The program provides a blended education opportunity, facilitating both online and on-site instruction. As such, OCA enables a hands-on learning experience in the construction trades taught by highly qualified instructors who provide personal attention to each student. Students attend class two days per week and may also log in 24 hours a day, providing flexibility in the learning process. Alongside the construction trade, OCA will encourage each student to develop the necessary skills, attitudes, and work ethic to be successful in their chosen career path. Additional benefits include:

A CLASS OF TRADE TRADE-- READY CRAFTSMEN Students of OCA earn their high school diploma and earn college credit toward an: Associate Degree in Construction Technology, or ℵ Associate Degree in Construction Management ℵ

As well, students earn up to 2 of 4 levels of apprenticeship instruction. Upon completion, students are prepared for direct entry into registered apprenticeships, college, or a job.

OCA provides students free tutoring 1 day per week. OCA provides students with a computer, printer, scanner, and internet at no cost.

A JOB”WISE” DECISION: OCA PROVIDES A DIRECT LINK TO CONSTRUCTION INDUSTRY EMPLOYERS THROUGH ITS PARTNERSHIPS.

AN

prepares them for direct entry into a professional

OR BETTER.

FRESH OPPORTUNITY

OFFERS

WWW.OHIOCONSTRUCTIONACADEMY.COM

OCA Brochure & Application