8th Grade
Riverside Science Academy

 

Student Application

Please complete and submit your application by Friday, April 22, 2016. Participation in the Riverside Science Academy is limited, therefore, you should sign-up as soon as possible. If the participation cap is met, students will be placed on a waiting list based on when their application was received.

Riverside Science Academy Parent Letter (PDF)

Fields with * are required.

Please contact Ms. Agar or Mr. Bremberger with any questions regarding Riverside Science Academy.
Student Information
Student Name:
*
Date of Birth:
*
Grade:
*
*Gender:
Address:
*
Contact Information
Name of Parent or Guardian:
*
Relationship to Student:
*
Phone:
*
Work Phone:
Email:
*
Preferred Way to be Contacted:
*

Student and Parent/Guardian Agreement
My Parent/Guardian and I:
  • Have read the cover letter and understand the nature of this class.
  • Agree that this will be a suitable learning environment for me as a learner.
  • Recognize the increased learner responsibilities of time-management, organization, responsibility, communication, collaboration, problem-solving, critical thinking, and creativity and innovation.
  • Agree that unsuitable behavior that inhibits/prohibits my learning or the learning of others in the Science Academy could lead to placement back into a general science class.
 
Student Acknowledgement of the Riverside Science Academy Agreement*
Parent Acknowledgement of the Riverside Science Academy Agreement*