Renaissance Program Application - All Students (Not Currently Members)
Anyone with a 3.0 or higher can apply or if you have improved your GPA by at least 0.5 (i.e. 2.0 to 2.5).
Use your current (2012-2013) information for this entire form.
Name (Last):
(First):
Student ID number:
Year In School (i.e. 9, for Freshmen)
(Use PowerSchool) Current GPA
(Use PowerSchool) Current Total Tardies -
Current Total
Unexcused
Absences
("Unexcused" will show up as "CUT" on PowerSchool,
NOT
"UNV")
Use your First Semester (Report Card) information for this entire form.
A1- Course
Letter Grade
Cit.
B1- Course
Letter Grade
Cit.
A2- Course
Letter Grade
Cit.
B2- Course
Letter Grade
Cit.
A3- Course
Letter Grade
Cit.
B3- Course
Letter Grade
Cit.
A4- Course
Letter Grade
Cit.
B4- Course
Letter Grade
Cit.
Home Release/Release Time do not need grade or citizenship but must be identified on appropriate course blank.
I have hereby read and understand that by checking the box below: I have made a commitment to academic and behavioral excellence;
I am stating that all the information given is correct and understand that any incorrect, missing or false information given will cause my application to be denied
; I agree to follow all procedures outlined by the Renaissance program and understand that if I fail to qualify for Renaissance for the next quarter of a Renaissance year, I will be dropped from the program and able to reapply the following grading period. I also agree that if i do not follow the standards set by the Renaissance Program I can and will have my membership and all privileges connected to it revoked.
By Checking this box,
you indicate that you have read and agree to the above statement.
Date:
Check one: Shirt Size (Unisex - Adult only): S
M
L
XL
Application Deadline: April 5, 2013 at 2:00 PM
If you are concerned that your application was not received electronically, please print out the form once you have filled in all the required information.